Be An Angel 4 This Cause
Contact Application Form
Contact Application Information

Please fill out our Application and someone will get back to you within 24 - 48 hours. Remember we do not adopt under the age of 25 years old and we do not do out of state adoptions. Training classes are required. Remember adopting becomes a part of your family for life.

  • You must be at least 25 years old
  • You must have identification with your current address
  • You must have consent from your landlord before beginning the adoption process
  • You must accept the responsibilities that go along with having a pet, including spending the time and money required to insure the animal receives the proper training and medical treatment.
  • Filling out this form does not automatically guarantee an adoption. It's just the first step.
  • The adoption donation is considered a donation to provide care for this & other rescued pets & is not refundable.
  • The application is in place to ensure that you & the pet you are adopting are the best possible match.
  • We have the right to approve or deny any applications.
  • We make every effort to ensure that the pet you adopt from us is healthy.  All rescued animals are examined by a veterinarian, vaccinated against communicable diseases, a heartworm test done, a fecal & deworming, are spayed/neutered & microchipped. Occasionally a pet may not show symptoms of a disease until after he/she is adopted.  This is completely unavoidable & you are responsible for all medical expenses incurred after adoption.

Thank You
Date of Birth:
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
 By Answering yes,
you agree
1. To absolve Angel4CauseRescue and all of its representatives from any liability in reference to a dog adopted using this service:
2. That your dog will not be used in any illegal activities nor be found at any time in a municipality where pitbulls are illegal:
3. that your dog will be kept as a house pet. It will not be used for medical or experimental purposes, and it shall not be used for breeding:
4. to learn your local and state leash laws,and to obey those laws:
5. Occupation:
Name the dog that you are interested in:
Do you prefer Male or Female?:
Do you prefer a puppy or an adult dog?:
If you're looking for a guard dog, what is it intended for?:
Business - Residence- N/A
Is your a home a house or an apartment?:
Do you own the property?:
If you rent, do you have your landlords permission to keep a pitbull?:
Please provide your landlords name and phone number for verification:
In the past 5 years, how many times have you moved?:
Where will your dog live? INDOORS -BASEMENT -GARAGE -OUTDOORS - OTHER:
How many hours a day will your dog be home alone?:
Where will your dog be when you are not home? INDOORS LOOSE - INDOORS CRATED - OUTDOORS ON RUN - OUTDOORS IN FENCED YARD - OUTDOOR KENNEL:
Will you provide a dog walker if your dog is home more than 6 hours?:
How will you exercise your dog (please write all that apply)? WALKS - FREE RUN/FENCED IN YARD - VISIT TO DOG PARK - DOG RUN - FREE RUN/UNFENCED YARD (SUPERVISED) FREE RUN:
What is your yard size?:
Is the yard enclosed by a fence?:
Type & size of your fence?:
How many adults (21 or older) are in your household?:
How many children under 21 are in your household?:
What are the ages of all children under 21?:
Does everyone in the home share your desire to adopt a dog?:
Who will be responsible for the dogs daily care and expenses?:
Do you have any other dogs?:
If you do have any other dogs please provide the information: DOGS NAME - GENDER - BREED - AGE- SPAYED/NEUTERED:
If you have had other dogs in the past, where are they now?:
What other kinds of animals do you own?:
Have you ever owned a pitbull before? If no, what is your experience with this breed?:
Of all the breeds available, why do you want a pitbull?:
Have you ever had a pet impounded by animal control? If yes, please explain:
Have you ever been convicted of any crime relating to animals, if yes please explain:
Would you return a dog to Angel4CauseRescue for any of the following reasons ( please list all that applies) A MOVE - MARRIAGE/DIVORCE - JOB CHANGE - ALLERGIES - HAVING A BABY - DOG ISN'T HOUSE BROKEN - DOG IS BADLY BEHAVED - DOG DEVELOPES MEDICAL PROBLEMS - DOG BECOMES TO EXPENSIVE:
Where will you be taking your dog to training classes?:
Do you have a veterinarian? If yes, please provide name and phone number:
Please supply the name and phone number of your employer, clergyman, or someone not related to you who can attest to your character:
Owning a dog means paying for its food, toys, veterinary care, immunizations, and more. Are you ready to pay these expenses for the dogs entire life?:
Your Signature & Date:
Comments:




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