Lil Pit Rescue  
Our task must be to free ourselves... by widening our circle of compassion to embrace all living creatures and the whole of nature and its beauty.
-Albert Einstein


Welcome to Lil Pit Rescue, a non-profit animal welfare organization. We help save animals from high kill shelters from coast to coast and find them loving homes.  Please help us with our fight. 

Adoption/ Foster Application

The first step in the process of adopting a pet from the Lil Pit Rescue is to complete this application. The application provides important information. Working with you, we will be able to determine if the adoption is in the pet's best interest, and the process ensures that you will find a pet well-suited to your lifestyle. Please provide
detailed information for all questions.
Our adoption fee includes the cost for vaccinations and other medical care; the spaying or neutering of the animal; and an adoption service charge.

To qualify for adoption, you must:
  • Be at least 21 years old and have a valid driver's license or state Identification Card stating your current address
  • Have the knowledge and consent of a landlord, if relevant
  • Be able and willing to spend the time and money necessary to provide medical treatment, proper nourishment and care, and training for a pet
Please note:
We reserve the right to refuse adoption to anyone. Please be advised that we will not adopt to persons who mislead or fail to provide accurate information on this application.

Name/ ID # of the pet(s) you are interested in::
Personal Information   
 Name:: *  
 Address:: *  
 City:: *  
Home Phone::
Cell Phone:: *
Work Phone:: *
State:: Zip Code:: *
 Spouse/Partner Name::  
 Email Address:: *  
Your Age::
 ID/ Drivers License #: *  
Employment Information

 Are you currently (check all that apply)::
Other, please explain::

 If employed, name of employer: *  
 job title/line of work:  
 How long with present employer?:  
 If a student, where?:  
 Spouse /partner occupation:  
 Spouse/partner employer:  
 How long there?:  
Family Information   
 How many adults live in your home other than yourself? Please list names and ages::  
 How many children live in your home other than yourself? Please list names and ages::  
Are ALL members of your household aware of and in agreement with this adoption? If not, please list who is not in favor of the adoption and the nature of their concern or objection::
Home Information

 Do you:
 How long at current address?: *  
If less than 2 years, what was your previous address?:

 If you rent, does your lease allow pets?:

How many pets?:

Required: Name and phone of landlord: *

Do you have a fenced yard?:
If yes, what type of fence and how high?:

 Do you plan on moving in the foreseeable future? If so, where will you move, and why?: *  
Adoption Information

 Why do you wish to adopt this pet? Check all that apply:

Looking for guard dog for home/property
Companion for another pet
Want to breed
My children will learn to be responsible for/care for another creature
Gift for someone. If so, whom?
The animal is so cute I just can't leave it behind
Feel sorry for the animal
Love animals, want to help a pet in need
What is your preferred level of exercise with the dog? Check all that apply: 
Hiking/joggingShort WalksYard exerciseCouch potato
Vigorous walks
 What strong preferences do you have in dog?: (Female, Male, Long hair, Short hair,
Non-shed/hypoallergenic, Age range, Breed
Size/weight, Color)
 Do you have a second or third choice among the pets available to you today?: *  
Vet Care

 What is your estimate of the cost for annual routine vet care for the pet you wish to adopt?:
 Please provide a description of what you consider to be routine vet care:: *  
Who is your current or past veterinarian?: *
Current and Past Pets

What pets do you currently have? List all. Exclude fish:

Pet Names

Type of Animal
Where Obtained?
How Old?
Spayed/Neutered?: *
Are your current pets spayed or neutered?
 If no, why not?:

Do your current pets wear identification tags?
If no, why not?:
Are your current dogs licensed?
 If no, why not?: *
Are your pet's vaccinations current?
 If no, why not?:
If dog(s), heartworm preventive?
 If no, why not?:
 Please tell us about the animals you have owned in the past, who are no longer with you.: *  
 Please tell us about the pet's weekly schedule as it relates to your schedule. Which hours during the day will your pet routinely be home alone? For example, if everyone is at work between 8 - 4 on Monday, you would write 8 - 4 in the Monday box.: *  
When inside, how do you plan to keep your pet? Check all that apply Inside a closed room
Confined to crate
Free inside house
When inside, how do you plan to keep your pet? Check all that apply: *
When outside, how do you plan to keep your pet? Check all that apply: 

Loose in yard unattended
Leash and regular walks
Outside dog run
Fenced yardInvisible fencePatio areaGarage
Tie out chain
NA, indoors only
Other, please explain::
Where will your pet be kept during the day?: *
At night?: *
Training and Behavior

How will you introduce your new pet to any existing pets?:

Which of the following behaviors or characteristics present a problem for you? 

Jumping on furniture
Chewing on shoes/furnitureSheddingDigging
Jumping on people
How do you plan to handle these issues?: *
Will you consider taking your dog to training classes?:

Who will be primarily responsible for the care of the pet?:

How old is this person?:
If your pet(s) were to survive you, what would happen to them? Who would take responsibility for them?: *
Have you ever taken a pet to the pound?:
If yes, why?:
How long will you keep the pet you are planning to adopt?: *
If you move in the future, what will you do with the pet you plan to adopt?: *
What would cause you to return the pet to us at some time in the future? (Check all that apply):
Life change such as new job
Found out I'm not a "dog person"
Give birth to new baby, fear that the dog will harm him or her
Divorce, death of spouse/partner
Change in relationship, new love interest doesn't like pets
Dog proves to be too much on top of caring for children
Can't afford the pet
Changed my mind about caring for pet
Too much energy, hard to control
New pet doesn't get along with existing pet(s)
Found out I just don't like the pet
Pet bites someone
Pet chews on furniture or is destructive
Found out I just don't like the pet
Pet chews on furniture or is destructive
Pet develops a serious medical condition that I can't afford to treat
Can't housebreak the pet
  Kids go away to school, don't want to care for pet
Please provide us with two references::


 2. *  
Do you understand that there is a lifetime return policy for the dog you adopt, and that it is actually against the law for you to give away, sell, dump, etc... the dog that you adopt at any given point in the dogs life, and if it doesn't work out within a time period of two weeks you have the option to have your adoption donation refunded or for it to be used as a donation: By sending this application and putting your name on it, you here certify that all the above information is true, and if any information contained on this application is found to be false, you understand the dog will be removed from my premises without a refund of monies paid.
Furthermore, do you agree that if you cannot keep the animal you adopt, you must house this animal until a suitable new home is available or until foster home space opens up?:
Signature: *