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The information given here is confidential and will only be used for adoption purposes. For more information, please contact us at firstname.lastname@example.org.
Before you start, please make sure you are eligible to adopt. You must:
1. Be at least 18 years old.
2. Have identification showing your present address.
3. Have the consent of all adults living in your household.
4. Own your home or have the owner/landlord's consent.
Name of dog you wish to adopt:
Please tell us where you first met or heard about this dog (e.g. Petfinder, PetSmart, Petco, the dog’s foster, a POPB volunteer, Facebook, etc.):
What is your date of birth?
District of Columbia
Zip / Post Code
Who is your current employer?
What is your employer's phone number?
Personal reference # 1 (full name, phone number):
Personal reference # 2 (full name, phone number):
Veterinarian name and phone number (write n/a if none):
Where do you live (house, apartment, etc.)?
How many adults live in the home where this dog will be?
Please list their names (write n/a if not applicable).
Are all the people who live in the home in agreement with the decision to adopt the dog?
Ages of any children who live in the home or visit frequently:
If you have a backyard, what kind of fence do you have?
If you have a pool, is there a fence around it?
Do you own? Rent? Or live with relatives/friends?
Landlord (full name, phone number):
Does your landlord require a pet deposit?
If yes, have you paid the required pet deposit?
Does your landlord have weight or breed restrictions?
If yes, please explain:
YOUR CURRENT PETS
Please list all animals living in your home, including small pets like rabbits or hamsters and also livestock such as chickens, horses or goats.
Please include the name, species, age, years owned, where the pet(s) is/are kept, neuter/spay status:
If any dogs or cats are not spayed or neutered, please explain why:
Are your pets up to date on all vaccinations?
If not, please explain:
Do your pets have any health or behavioral problems? If so, please explain the issue and how you are addressing it. This information will help us make a good match.
Have you had any other pets in the past (as an adult)? If yes, what happened to them?
How many hours each day will this dog be without human company?
Where will this dog stay while you are gone each day?
Where will this dog sleep?
What sort of training do you plan/are you willing to provide for this dog (i.e. crate training, house training, obedience class, etc.)?
How do you plan to exercise this dog?
Where will your new dog go when you travel?
What would you do if your dog destroyed expensive shoes, furniture, etc.?
How do you feel about crate training?
Do you have any training or behavior questions you'd like to address in the adoption process?
HOME VISIT AND OUT OF TOWN ADOPTIONS
We do a home visit as well as reference and landlord check. For most Gainesville area adopters, we do the home visit after the application is approved. We can then arrange a second visit to drop off the dog for the trial week, or the adopter can pick up the dog from the foster or at an adoption event. For out of town adopters, we will arrange for a trusted volunteer to do the home visit. We will not adopt “pit bull” type dogs to residents of Miami-Dade County.
ADOPTION FEE AND TRIAL PERIOD
We want every adoption to be a good match. To that end, all adopters have a trial week, starting the day they welcome the dog to their home. At the end of the week, we will ask you to confirm whether or not you wish to finalize your adoption. If you would like more time, please ask. If you choose not to finalize after the trial week, you must return the dog and we will return your fee. Once you finalize the adoption, no fees will be reimbursed, even if you return the dog later. If you cannot keep your dog at any time, you must return him/her to POPB.
After finalizing the adoption, you are entitled to a free initial examination at one of our participating veterinary clinics. We will also provide you with all the dog’s veterinary records and transfer the dog’s microchip information to you.
Please read this carefully! Please initial each item to indicate your agreement with the following statements and your promise to fulfill these committments.
This is a legally binding contract with Plety of Pit Bulls (POPB).
I have discussed the adoption with all the people in my household (partners, parents, roommates, children, etc.) and everyone supports this decision and will welcome the dog to our home:
I will provide proper veterinary care for my dog, including keeping him/her up to date on all required vaccinations and on monthly heartworm preventative:
I will not leave my dog chained, tethered, or penned without direct supervision other than for very brief periods of time (no more than 30 minutes daily):
I will keep my dog's microchip updated and also notify POPB of my new address and phone number(s) whenever I move:
I understand that it may take days or even weeks for my new dog to adjust to my home AND for my current pets to adjust to my new dog. I will ask POPB for training and behavioral help if I need it at any time. I understand that my dog can attend 5 POPB training classes for free:
If at any time you cannot keep the dog, you MUST notify POPB immediately! POPB has resources that we can provide to assit you if you encounter unexpected challenges. Please DO NOT attempt to re-home your dog or drop them off at a shelter without first contacting POPB for assistance:
I understand that once I finalize the adoption (after the trial period), the adoption fee will not be reimbursed even if I return my dog at a later date:
Adopter Signature 1:
Adopter Signature 2 (if applicable)
If you have any difficulties with this form, or general questions, please contact us directly at email@example.com.