Adoption Application

We reserve the right to refuse adoption to any applicant for any reason. This questionnaire becomes part of our contract.

*All the dogs are crate trained and potty trained, fixed, chipped, vaccinated and perfect.

*No idea if any would do well with cats, I have none.

*I do not adopt any of my dogs to families with small children (must be over 15) I know this is frustrating for some people, but the safety and well-being of my dogs is my number one priority.

Click here for a list of available dogs.

Dog You Would LOVE To Adopt:

Your Name:

Driver's license number:

Street address:

City/State/Zip:

Phone number:

Email:

Employer:

How long at current job:

Personal reference #1:

Phone number:

Relationship:

Years known:

Personal reference #2:

Phone:

Relationship:

Years known:

Do you live in a(n)?:

House Townhouse Apartment/ Condo Other

Your home is:

Owned, by you or your spouse/life partner Owned, by someone else within the house Rented directly from the owner or through a management company Rented as a part of a group of roommates Other

If renting, is your name on the lease?

Yes No

If renting, do you have your landlord's permission to have a dog?

Yes No

Landlord's name and phone:

Who shares your household?

Spouse/ Life Partner Roommate(s) Boyfriend/Girlfriend Other

Are there children in the home?

Yes No

If yes, how many?

How old?

At what age do you feel children are responsible enough to take care of a pet without assistance? (i.e. walk, feed, train):

Change of living situation

If your present relationship/living situation were to change and you were no longer able to care for the dog, a new application must be submitted and approved in order to transfer ownership.

Do you plan to move soon?

Is someone home during the day?

Yes No

Who's home during the day?

How many hours will your dog be alone each day?

Where will the dog stay when he/she is home alone?

What rooms are off limits?

I do not have a yard at this time (skip to the next section)

Do you have a doggy door?

Yes No

Is your yard shared with neighbors?

Yes No

Is your yard fenced?

Yes No

What kind of fence?

Fence height at highest and lowest points:

Have you recently inspected your fences?

Yes No

Are they in good condition with no holes or loose points?

Yes No

If your dog will have free access to a fenced yard, where is it located?

Front yard Back yard Side yard

Which of the following is used to secure your gate?

Latch Keyed lock Padlock We do not lock our gate

If your gate does not have a lock, are you willing to install one?

Yes No

If yes, where is the dog kept while they are working?

Do you trust your workers not to let the dog get out?

Yes No

How would you describe your dog owning experience?

I have had dogs of my own as an adult I grew up with dogs or have worked with them but have not had my own as an adult I have never had one or have limited experience with dogs Other

Have you owned a pit bull/ bully breed before?

Yes No

If no, what is your experience with them?

What do you appreciate about this breed?

Are you aware of the dog-aggression issues that may be present in this breed?

Yes No

How are you prepared to address this should it arise? Please be specific:

How many dogs have you owned in the past five years?

What happened to the other dogs?

Do you currently have pets?

Yes No

If yes, please list type, breed, gender, age, spay/neuter status for each:

How do you feel your current pets will adjust to a new dog in the house?

Have you had experience with behaviorial or medical issues with your previous or current pets?

If there are children in the household, please describe their experience with dogs:

Why do you want to adopt a rescued pit bull/ bully breed dog?

How will you exercise your dog? How often?

All dogs come with manditory training before adoption is complete (provided by Koco). Do you agree to training?

Yes No

Have you or would you be willing to enroll your current dog(s) in obedience class?

How would you discipline your dog if he or she misbehaved/chewed household items?

What method do you intend to use to housetrain your dog?

If your pit bull develops behaviorial problems, what will you do?

If your dog got out/ was lost what would you do?

What food will you feed the dog?

Would you like food reccomendations?

Yes No

Pets are an investment of your time and money. Can you afford to provide medical care, grooming, proper diet, shelter and exercise for your new dog?

Yes No

Other concerns:

What is your monthly budget for your dog?

Who is your veternarian (name and phone)?

If you do not currently have a vet, would you like a referral?

Yes No

If you move, what will you do with your dog?

Please read and initial each statement below:

I understand that a home visit is required prior to final placement. I understand that a home visit does not guarantee placement. I agree to provide my own collar, leash and a personal ID tag at the time of completing the adoption contract.

Please list one to three of your social media profiles (if they are not public, please add @handoverrover as a friend).

INITIAL HERE YOU UNDERSTAND