ADOPTION FORM - PITTIE INTERVENTION & TRANSITION - PIT, INC
Thank you so much for considering adopting and for choosing to adopt from PITTIE INTERVENTION & TRANSITION (PIT, INC). Please complete this form in it's entirety and know that we will review your application upon receipt.

We will need you to provide ALL information required or the application will not be received, if you do not have a successful message at the end, please review your application and locate which answer may not be complete.

If you have not provided all numbers for contacts that we need to call for reference checks, we cannot process your application. 
Sign in to Google to save your progress. Learn more
Dog Name *
This is the name of the dog that you are interested in adopting. This does not guarantee your adoption of this dog as you may change your mind once you meet them, or you may find a better fit for you upon discussing with rescue.
Full Legal Name *
Full Address..Inc City, State and Zip Code *
Telephone Number *
(PLEASE - no dashes, spaces or special characters - just numbers)
Alternate Phone Number If Applicable
(PLEASE - no dashes, spaces or special characters - just numbers, enter "0" (zero) if not applicable)
Email Address *
Date of Birth *
MM
/
DD
/
YYYY
Spouse/Partner/Significant Other/Co-Adopter's Name
Spouse/Partner/Significant Other/Co-Adopter's Telephone Number
 (PLEASE - no dashes, spaces or special characters - just numbers)
Spouse/Partner/Significant Other/Co-Adopter's Date of Birth
MM
/
DD
/
YYYY
If the relationship changed, who would the dog stay with? *
Please put N/A if this is not applicable.
Do you... *
Can you provide written documentation that you are allowed the selected breed by your Landlord/HOA? *
Name of Landlord/HOA Representative *
If you do not have a Landlord or HOA, please enter N/A
Telephone Number for Landlord/HOA *
(PLEASE - no dashes, spaces or special characters - just numbers, enter "0" (zero) if not applicable)
Who Else Lives in the Home? *
If you have Children in the home, how old are they? Please check all that apply. *
We do base ensuring that we help you pick just the right animal for your home, answering this question helps us ensure that the animal you may have in mind is the perfect fit. If the animal is not the perfect fit, we may have another animal that is, or may have one that comes in that will be just right for your home.
Required
Is anyone in the household allergic to dogs? *
I understand that there are breed specific restrictions with some insurance companies which deny ownership while renting on property being insured. If you are renting, we willhave to contact the landlord. The last thing we want is to have a dog returned because a tenant tried to “get around” the landlord. *
BY CHECKING THE BOX BELOW "I UNDERSTAND" YOU ARE IN AGREEMENT THAT YOU UNDERSTAND THE ABOVE STATEMENT
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report