EmailMeForm
Foster/Adopt Application
All fields are required. If the question does not apply to you, eg...you own your home; therefore there is no landlord contact info to provide, enter N/A in that field
Applying to
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Foster
Adopt
Animal of Interest
*
Enter the name
If you have not chosen one, state so
Description of Dog
If you have not chosen a dog, please tell us, with as much detail as possible, what you are looking for.
About You
Name
*
First
MI
Last
Date of Birth
*
MM
/
DD
/
YYYY
Must be 18 yrs or older
Government Issued ID #
*
Provide Form of Identification (passport, military, driver's
license, ID card), Agency or State Issued By and the Number
Email
*
Confirm
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Time At Current Address
*
0-2 years
3-5 years
6+ years
Phone#
###
-
###
-
####
Best Time(s) To Call
*
6 AM - 8 AM
8 AM - 10 AM
10 AM - 12 PM
12 PM - 2 PM
2 PM - 4 PM
4 PM - 6 PM
6 PM - 8 PM
8 PM - 10 PM
Please pick at least 2 and be available to take the call.
Housing Status
*
Own
Lease
Rent
If leased or renting, please provide landlord's full name and phone number
*
Home owners enter N/A
If you rent you will need one or both of the following:
Signed permission from your landlord and/or a copy of your rental agreement showing the pet policy. You can attach that here
Add File
Max 300 KB Per File
**ESA letters will still require a letter of acknowledgement and promise not to interfere, from your landlord.
Employment
If you are a SAHM, enter N/A in the required fields
Employer's name, address and phone#
*
Occupation
*
Personal References
Please provide us with 2 personal references, who do not live in your home.
**All fields must be complete
Reference #1
Name
*
First
Last
Phone#
*
###
-
###
-
####
Relationship to you
*
Length of Relationship
*
Reference #2
Name
*
First
Last
Phone#
*
###
-
###
-
####
Relationship to you
*
Length of Relationship
*
Household Members
Spouse, Significant Other, Roommate
First
MI
Last
Date of Birth
MM
/
DD
/
YYYY
Must be 18 yrs or older
Government Issued ID #
Provide Form of Identification (passport, military, driver's
license, ID card), Agency or State Issued By and the Number
Phone#
###
-
###
-
####
Email
Confirm
Employer's name, address and phone#
Occupation
Children & Other Occupants
Please include children on visitation schedules
Name
Age
Relationship
1
2
3
4
Does anyone in your household have allergies?
*
Please select
Yes (Explain Below)
No
If yes, please explain.
Has anyone living in your home ever been convicted of a crime (excluding traffic violations)
*
Please select
Yes (Explain Below)
No
A conviction does not automatically disqualify you
If yes, please explain.
*
Please choose all that apply to your yard
*
Securely fenced
Chain Link
Wood
Other
4 feet
5 feet
6 feet
Gaps under fence
Loose boards
Latches and pad locks on gates
Animal friendly with no hazards
Landscaped by outside company
Grass
Dirt
Stone
Inground pool safely fenced
Inground pool NOT fenced
Do not have a yard
Small yard
Medium yard
Large yard
No fence
How many other animals live in the household?
*
0
1
2
3
4
5
6
7
8
Resident Animals Info
Name
Breed
Age
Sex
Spayed/Neutered?
1
2
3
4
Please describe your level of experience with owning a dog/animals
*
Do you have experience with a specific breed?
*
Yes
No
If yes, please list the breed(s) and your experience
*
Why are you interested in adopting a dog? Please choose all that apply
*
Security
Companion
For the kids
Friend for the current pet
Recently lost your last dog
Other/Not Listed
If other/not listed, please explain
If you do not have a dog now, when was the last time you did? Was the dog spayed/neutered? What breed? Why do you no longer have your last dog?
*
Why are you interested in adopting a bully/power breed?
*
When you are away, who will be caring for your adopted dog?
*
Do you have a regular veterinarian? Can you afford regular veterinary care, along with unexpected veterinary care?
*
What is the name and phone number of your Veterinarian?
*
Will this dog wear a collar, with current I.D. tags?
*
Yes
No
What is the longest this dog will be left alone each day?
*
Where will this dog spend the majority of its time? Explain
*
Who will be ultimately responsible for this dog?
*
How will this dog get exercise?
How will you discipline this dog?
*
If needed, would you seek obedience training?
*
Yes
No
What would be your limit where you may want to return this dog to the rescue? Such as divorce, chewing/house training problems, not getting along with family pet, etc.
*
What would happen to this dog if you had to move??
*
How did you find out about Pit Bull Outpost Rescue?
Facebook
Search Engine
Adoption Event
Friend
Instagram
Are you aware of BSL? (Breed Specific Legislation)
*
Please give a brief description of BSL, as you understand it
On a scale 1-10, with 10 being high. How would you rate your basic energy and activity level?
*
Please read each statement below and check the corresponding box.
All boxes must be checked for foster and/or adoption consideration.
*
I understand that PBOR is an all volunteer non profit 501c3 charitable organization.
I understand that a background check will be done before the next step is taken.
I understand that a criminal conviction does not automatically disqualify me.
I understand that a home check and contract are to be completed before a dog enters my care.
I understand that a lie or omission of any fact will terminate any agreement entered into with PBOR
By submitting this application, I confirm that the information given in this form is true, complete and accurate.
