Please e-mail this application to Apri@notjustamutt.com .

• One of the requirements to adopt form our organization is that home checks must be conducted: Are you willing to allow a representative to visit your home? Yes or No
• Do you have a securely fenced yard ? Yes or No
• Yard size is: Small, Medium, Large, Acreage, No Yard
• Do you live in a(n): apartment, rental home, owned home condo, town home, mobile home
• If you are renting, do you have the landlord's permission to own a Pit Bull? Yes No
• Please provide landlord's name and phone number:
• Is the home in an Urban Suburban Rural setting?
• What County do you live in?
• Who will be primarily responsible for the financial expenses and daily care of the dog?
• Does every individual in your home agree to adopting a pit bull? Yes or No
• Do any individuals in your home have allergies to animals/dogs? Yes or No
• How often have you moved in the past 5 years?
• How many adults OVER 21 are in your household?
• How many individuals UNDER 21 are in your household?
• Do any children (under 18) live in or visit the household? Yes or No
• What are the ages of the children?
• Is this your first time owning a Pit Bull? Yes or No
• Have you ever been convicted of animal cruelty, dog fighting or other crime relating to animals? Yes or No
• If so, please explain:
• Have any of YOUR pets (not strays) been picked up by/taken to animal control? Yes or No
• If yes, why?
• Was the animal reclaimed? Yes No N/A
• If not, why?