AmStaff Puppy Rescue
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Good NewZ! Pittie Pups Rescue is a
501(c)(3) established to save mutts
(aka pittie pups) as young as one week
from euthanasia.

COMPANION ANIMAL ADOPTION APPLICATION

Copy below, paste into an e-mail, then send to adopt@pennantsystems.com

Date:

APPLYING FOR:
Name of Animal:
Species:
Description:
Age:
Special Needs:

APPLICANT'S INFORMATION:

Full Name:
Address:
City:
State and Zip Code:
Phone Number:
Email Address:
Age:

Place of Employment:
Phone Number Place of Employment:
How Long in Present Job:

HOUSEHOLD INFORMATION:

How long at your present address?
Do you own or rent?
If you rent, do you have your landlordís permission for a dog?
How many adults in your home?
Are many children in your home?
Are all members of your household aware of your plans to adopt an animal?
Are any members of your household allergic to dogs?
Where will animal be during the day hours while at work?

Where will your companion animal sleep?

How many hours will your companion animal be alone?

Who will be responsible for the animal?

OTHER ANIMALS:

Do you have dogs?
Are all the dogs in your household spayed/neutered?
Name of Veterinarian:
Address:
Phone Number:

If no companion animals at this time, have you had any in the past 8 years?
If yes, what happened to them?

QUESTIONS: (Use back of application to answer)


Why do you want to adopt an animal?

What type of personality are you looking for?

(If applicable) Have you ever had a special needs animal before?

If yes, describe:

If necessary, how will you discipline the animal?

What kind of dog training do you use?

I hereby certify that all information supplied by me on this application is true.

Signature: (Will sign when I see you)