Adoption Application

Our goal is to place pets in permanent, loving homes. Please complete this application and contract so Alamo City Pit Bull Rescue and Rehabilitation may assist you in finding a special, compatible companion to join your family. With this information, we Alamo City Pit Bull Rescue and Rehabilitation minimize the risk of a failed adoption. We do NOT adopt dogs on a “first come, first served” basis, but rather make every attempt to match families with the most compatible pets. WE RESERVE THE RIGHT TO DECLINE ANY APPLICATION FOR ANY REASON. The customary adoption fee for pets is $150 for dogs and $200 for medical dogs. These fees help to defray the costs of spaying/neutering, testing, vaccinating, and micro-chipping our pets, but rarely, if ever, cover all expenses. Therefore, additional contributions are welcomed. Adoption fees and donations are NOT refundable. Our dogs are heartworm tested and placed on heartworm preventative.

1About You

2About Your Potential Pet

3About Your Home

4Pit Bull and Rescue History

5Pet Ownership History

6References

7Electronic Signature

Today's Date*
MM slash DD slash YYYY
Name*
First Last
Email*
Phone Number*
Address*
Street Address Address Line 2 City State ZIP Code
Are you at least 21 years old?*
- Yes
- No
You must be 21 years old to adopt.
Date of Birth*
Driver's License Number and State*
Employer*
What are your working hours?*

Please list a vet reference (name + phone number)*
Please list TWO PERSONAL references (ex: co-worker, friend, etc.). Please provide their first and last name, phone number and how you know these people.*
Please list TWO PROFESSIONAL references (ex: manager/boss at work, Veterinarian, etc.). Please provide their first and last name, phone number and how you know these people.*

PLEASE SIGN FIRST AND LAST NAME. By typing your full name below this serves as your handwritten signature and you attest that all information submitted is true and correct to the best of your knowledge.*