Please list ALL the other pets currently in your household
Species / Breed / Age / Sex / Spayed or Neutered (Y/N). (if none, please type NA)
Please List ALL the other pets owned within the last 10 years
Species / Breed / What became of the pet? (if none, please type NA)
How Will You Discipline Your Dog?
(please be as specific as possible)
Please Describe The Dog That Would Best Fit Into Your Home
(Please be as specific as possible)
If You Are Looking To Adopt One of Available Dogs, Please tell us which one
If you are interested in a number of dogs, please separate by a comma.
By Submitting This Form I Am *
In the absence of my signature, by submitting this form to Out Of The Pits, Inc. I certify that all the above information is correct; that the dog I adopt will reside in my home as a pet; that I will consistently provide the dog with proper nutrition, water, training, attention, medical care and my love and affection; I will treat this dog kindly and not subject it to cruelty or abuse. I also understand that I will pay a non-refundable adoption fee of Three Hundred and fifty Dollars ($350.00) for a puppy under 6 months or Two Hundred to Two Hundred Fifty Dollars ($200-$250) for a dog over 6 months to Out Of The Pits, Inc. at the time of adoption.
I agree to the submission of this form