Adoption Application
Email to: PSBRapplications@gmail.com
First Name:
Last Name:
Complete mailing address (Street, city, state, zip):
Phone Number:
Email Address:
How did you hear about Pit Stop Bully's Rescue?
Which dog/s are you interested in?
Why this particular dog?
Where will he/she live if adopted by you?
How many hours per day will s/he be home alone?
Where will he/she stay when home alone?
How will you exercise him/her?
Are you over 21 years of age?
How many individuals over 21 in your home?
What is their relationship to you?
How many individuals under 21 in your home?
What are their ages and relationship to you?
Do you rent or own?
If you rent, please provide landlord's Name and Number for verification:
Do you live in an area where American Pit Bull Terriers are banned?
Do you have any other dogs?
(If so please list breed, sex and ages)
Is/are current dog/s spayed/neutered?
If not, pelase explain:
What Heartworm Preventative do you use?
Have you ever owned an APBT?
What happened to him/her?
Why adopt an APBT?
References: Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet(s), with their title identification. If you don't have a vet, please provide the name of your employer, clergyman, or anyone not related to you who can attest to your character. Vet references are preferred.