Rise and Shine Pit Bull Rescue Adoption Application

Before you begin:

Thank you for your interest in our rescue crew and for considering adding a rescue dog to your family! The information you provide is very helpful to us in finding a good lifelong, dog-companion. We welcome applicants who: work, have families, are busy, go to school, have big yards (AND those who don't). Our adoptive homes are as unique and diverse as our available dogs. So let's work together to find a dog that will bring joy and happiness to your home!

That said, dog ownership is also a serious responsiblity. It is the policy of Rise and Shine Pit Bull Rescue to assure that each person who adopts a dog is not only aware of the responsibility but also capable and willing to accept the commitment - both physically and financially.

The questions below are deisgned to help both you and Rise and Shine Pit Bull Rescue carefully consider the decision and to ensure our rescue dogs find permanent, loving homes.

We are an all-volunteer organization and we review applications as quickly as possible. You will likely hear back from us via email or phone in roughly 5-7 days.

Thank you for applying!

Email

example@example.com

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Area Code Phone Number

Your Age

Please let us know if there is a specific dog (or two) that interests you? (enter names)

I would be interested in adopting a (check all that apply):

Male Female Puppy Adult Senior Bonded pair (2 dogs)

What energy level are you looking for in your dog?

Active/ Energetic Playful/ Medium energy Couch Potato / Lower energy

Please describe any previous experience with bully breed dogs. If you don't have any, that's OK - tell us what interested you in adopting one?

It's important to me that my new dog be...

Housetrained Crate trained Good with kids Good with other dogs (always with proper introductions) Good with cats (always with proper introductions)

About You

I live in:

An apartment A house A condo A mobile home In base housing (military)

Which option best describes your living situation....

I live alone I live with my parents I live with roommates(s) I live with my spouse/partner

Do you plan to move or change jobs within the next year?

Yes No

How many people in your household are over the age of 21?

How many people in your household are under the age of 21?

If you have children (under 16), please list their ages:

If you have children (under 16), what exposure or experience do they have with pets?

Do you own or rent?

Own Rent A friend or relative owns the home

If you currently rent your home, please include your landlord's name and phone number below.

Do you have permission to have a bully breed dog from your landlord or homeowner's association/insurance company?

Yes No I'm not sure

Are you (or your partner) currently in the military?

Yes No

Do you have other animals?

Dog(s) Cat(s) Livestock No, I don't have any other animals

About your other animals:

	Pet Name	Type/Breed	Spayed/Neutered	Age	Kept Indoors	Crate Trained
1.
2.
3.
4.

Please use this space to describe your other pets special needs or medical conditions, etc.

If your other pet is a dog, is he/she currently on heartworm prevention?

Yes No

If you don't currently have any pets, have you owned and cared for animals in the past?

Yes No

Adoption Details

It is important that dogs adopted through Rise & Shine Pit Bull Rescue are kept indoors and are welcomed into your daily routine and your home. By checking yes, you agree to always house your dog indoors.

Yes No I'm not sure. I have questions.

Approximately, how many hours will the dog be home alone each day? (Remember, it's OK if you work or are gone during the day)

When I'm away, my dog will be...

Loose in the house In a crate in the house In a separate room/bedroom

If needed, are you willing to purchase a dog crate for your new dog?

Yes No

Where will your new dog sleep?

My yard size is

Small Medium Large/acreage No yard Community trails/greenspace

Do you have a fence?

Yes No Partial Planning to install one soon

If yes, what is your fence height?

Are you willing to reinforce or repair your fence (if needed)?

Yes No

Are you willing to schedule a brief home visit with one of our volunteers prior to finalizing adoption?

Yes No

How often do you travel?

Never/ Rarely A few trips a year Once a month More than once a month

If you travel or need to, what arrangements would be made for your foster dog?

Under what circumstances would you consider giving up your dog?

Moving New baby Divorce Dog becomes ill Family member develops allergies Pet behavior

Describe how you plan to continue training your new dog and helping with the transition to your new home?

Are you comfortable and prepared to spend time helping your dog with challenges like jumping, barking, pulling on the leash, and/or separation anxiety?

Yes No Maybe, I have questions.

Are you willing to accept immediate and full responsibility for the ownership of your adopted dog, including all health care costs, training needs, routine care and necessary burdens associated with dog ownership? *

Yes No

Example Veterinary Costs

Booster vaccinations $15-25/ea
Office visits $50-75
Heartworm testing $40 (yearly)
6 Mo Heartworm prevention $50-75
Flea & Tick prevention $10-15/mo
Quality dog food $30-40/mo
Emergency vet hospital visit $250+

These are sample amounts based on one, medium sized dog and do vary greatly by provider and type of care needed

Do you understand your dog will need regular veterinary care including heartworm testing and monthly preventative medication? *

Yes No

If, for any reason, you are unable to keep your dog, you agree to contact us immediately and make arrangements to return the dog to Rise and Shine Pit Bull Rescue? *

Yes No

References

Name of Primary Veterinarian:

Phone number of clinic

Area Code Phone Number

Client name your pet will be listed under?

Note: Our adoption volunteer will be contacting your current veterinarian during the screening process

If you do not have a veterinary reference, please tell us why:

I currently have no pet and no vet I will be first time pet owner and don't have a vet yet

If your pet isn't up-to-date on wellness care/vaccines or you have other information to share regarding your vet care routine(s), OR if you see more than one vet, please explain:

Personal reference (someone unrelated):

Personal Reference Phone Number

Area Code Phone Number

Personal Reference Email

example@example.com

Adopters:

By signing below, you agree that no guarantees or warranties of health or temperament can be or are made by Rise and Shine Pit Bull Rescue. You willingly accept full responsibility for the costs, liability and care of the dog at the time of adoption. You may return the dog to us for health reasons, but a refund on the adoption fee will not be given unless the return occurs with the first (3) days following adoption (in the event your personal vet determines there is a health concern that was unknown to us). We hope this information doesn't discourage you from adopting from us but reminds you that love comes with no guarantee.

* I understand that by submitting this application I am not guaranteed approval to adopt

* I certify that all information on this application is true and correct

Signature *

Clear