Adoption/Foster Application
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Name
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Address
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City
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State
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Washington DC
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Zip
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Daytime Phone
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Evening Phone
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Age
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Email
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Re-enter Email
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What type of application are you submitting?
Adoption
Foster
If submitting an adoption application, which of our dogs are you interested in?
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What type of residence do you live in?
Apartment
House
Trailer
Other
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Are Pit Bulls allowed in the area in which you live?
Yes
No
I don't Know
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Please supply landlord's name
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Landlord's Phone #
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Do you have a fenced in yard?
Yes
No
Will have one by time of adoption
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Are you willing to allow us to visit your home?
Yes
No
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Do you live with any roommates?
Yes
No
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How many?
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What age?
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Does anyone in the home have any animal allergies?
Yes
No
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Do any children live in the home?
Yes
No
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How many?
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What age?
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Do you have any experience with Pit Bulls?
Yes
No
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Are your pets spayed or neutered?
Yes
No
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Are your pets indoor or outdoor pets?
Indoor
Outdoor
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Do you have any pets? (If so, please list)
No
Yes
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Are your pets current on all vaccines, heartworm and flea/tick prevention?
Yes
No
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Will this dog be an indoor or outdoor pet?
Indoor
Outdoor
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Will your dog be supervised/on leash while he/she is outside?
Yes
No
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Will your dog be allowed to roam freely outside?
Yes
No
Only when...
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How long are you usually gone during the day?
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Where will the dog stay when you are gone during the day?
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Where will your pet sleep?
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Where will the dog stay when you are away on vacations?
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What would make you want to give your dog away? (moving, new baby, expensive vet bills, etc.)
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Have you ever given up a pet in the past?
Yes
No
If you have given up a pet in the past, why?
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Why are you interested in Pit Bulls?
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Please provide the name, address and phone number of your current or past veterinarian(s).
If you do not have a vet, please provide the name and phone number of at least one person as a reference.
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Please provide any additional information and/or comments you feel would be helpful to us.
Where did you hear about us?
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