Name
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First Name
Last Name
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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####
Driver's License/Identification Card Number
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Date of birth:
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Occupation
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Name of Spouse/Partner
If your relationship were to change, who would keep the dog?
How did you hear about AZK9?
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Which dog are you interested in?
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Why did you choose this breed?
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Why did you choose this specific dog?
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In your opinion, what makes you a good pet owner?
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What characteristics are most important for you to have in a pet?
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Select all that apply
What is the activity level in your household?
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Select all that apply
What do you think is a reasonable amount of time for a pet to adjust to a new environment?
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Have you ever been declined an adoption through a rescue organization?
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How many other people reside in your home? Please list age and relationship.
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Who will be the dog’s primary caretaker?
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Do all members of your household want a pet?
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Do any family members have asthma or allergies?
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What other pets live with you (please give number of pets, ages, breeds, sexes and whether spayed/neutered):
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If any are not spayed/neutered, please explain why.
Would you considering spaying or neutering existing pets as a condition of adoption?
Yes
No
What other pets have you owned in the past? Please list names, age, sex and history—how long you owned and what happened to them (if passed away, please give circumstances).
How long have you lived at your current address?
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Do you rent or own your home?
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Rent
Own
If you live in an apartment or condo, what pet restrictions do you have? (number of pets, weight limit, types of pets, etc.)
If you rent, please provide us with contact information for your landlord.
Do you live in an HOA? If so, please provide the name of the HOA representative and any specific pet restrictions.
IMPORTANT: Many homeowner’s insurance companies have breed restrictions which include, but are not limited to, pit bulls, American Pit Bull Terriers, American Staffordshire Terriers, Staffordshire Bull Terriers, Rottweilers, Dobermans, Akitas, American Bulldogs, Chows and wolf-hybrids and will not insure you if they reside in your home or may cancel your insurance if you add a dog of these breeds to your home. Please check your homeowner’s insurance policy regarding breed discrimination before submitting this application to adopt a pit bull or pit bull mix dog. Landlords may also have these same breed restrictions due to their insurance policies. Please research this before applying to adopt one of these breeds.
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Do you have a yard?
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Yes
No
Is the yard fenced? If so, what type of fence (block, wood, etc.) and how high at its lowest point?
Do you have a pool?
If yes, is there a fence around the pool?
Yes
No
Do you have a pet door? If yes, where does it lead to?
What would you do with your dog if you moved?
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Why are you considering adding a pet to your life? (please select from below and explain in detail)
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Where is your pet going to be when you are home?
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When home alone the dog will be (check all that apply):
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When home alone the dog will be (check all that apply)
On average, how many hours per day will your pet be left alone?
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Do you plan on providing exercise for your pet? (check all that apply)
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Describe what kind of training you will provide for your pet.
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If required, would you be willing to enroll this dog into an approved training course?
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Under what circumstances would you not be able to keep your new dog? (Please check all that apply)
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I would consider relinquishing my dog due to the following behavior problems (please check all that apply).
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Would you attempt to resolve behavior problems with training first?
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Yes
No
I would need to relinquish my dog if they developed the following possible health problems (please check all that apply):
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What would you do if your new pet needed expensive emergency medical care?
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Have you ever been in a situation where you were not able to keep a pet? If yes, please explain in detail:
Were you ever in a situation where you had to bring a dog to a shelter? If yes, please explain in detail:
Do you travel often?
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Yes
No
Who would take care of your pets while you are away?
There are a lot of true and false statements made about pit bulls in the media. What do you believe are truths about the breed? What do you believe are misconceptions?
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Is there any other information you feel we should know about you?
Pets are an investment of your time and money. Are you prepared to provide medical care, grooming, proper diet, proper shelter and exercise for your new pet?
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Yes
No
Do you understand that if arrangements do not work out with your new pet, you must be willing to return it to AZK9?
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Yes
No
Please note that when AZK9 rescues a dog, it is for life. If we find that you have knowingly neglected any of the basic needs of your dog as defined by Arizona Law, we have the right to reclaim the dog to our care. By checking YES, you agree to absolve AZK9 and all of its representatives from any liability in reference to a dog featured in this website.
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Yes
No
By checking YES, you agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where pit bull presence is illegal.
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Yes
No
By checking YES, you agree that the dog is to be kept as a house pet. It shall not be sold for medical or experimental purposes, and it shall not be used for breeding.
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Yes
No
By checking YES, you agree to the MANDATORY obedience training of this dog. You must complete an obedience course and provide us with proof of completion.
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Yes
No
I have read the above information carefully and have filled out this application honestly. I understand that omission of information and/or failure to answer all questions can result in the application being declined. Also, if an omission or untruth is discovered after the adoption takes place, I understand and accept that AZK9 has the right to annul the adoption and reclaim the dog. Thank you for choosing to save a life through AZK9. Pets can live 10-15 years or longer. Please be sure to choose your pet for a lifetime. We will review your application and respond to you within 48 hours.
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