GENERAL INFORMATION
DATE
FULL NAME
PHONE NUMBER
EMAIL
ADDRESS
ARE THERE ANY OTHER PETS IN THE HOME?
YES or NO
IF YES, PLEASE PROVIDE INFORMATION SUCH AS
AGE, GENDER, BREED AND BREEDER WHERE
CURRENT DOG OR DOGS CAME FROM
ARE THERE ANY CHILDREN IN THE HOME?
IF YES PLEASE PROVIDE THEIR AGES
HOUSING INFORMATION
DO YOU KNOW OF ANY ORDINANCES IN YOUR
AREA OR COUNTRY THAT ARE AGAINST APBTs?
WHERE DO YOU LIVE, RURAL OR CITY?
DO YOU OWN OR RENT?
WHERE WILL THE DOG BE HOUSED DURING THE
DAY AND AT NIGHT?
DO YOU HAVE A FENCED YARD?
IF NOT, HOW DO YOU PLAN TO MAINTAIN THE
DOG'S MENTAL AND PHYSICAL HEALTH?
PUPPY INFORMATION
WHAT BREEDING ARE YOU INTERESTED IN?
GENDER PREFERENCE?
HAVE YOU EVER OWNED AN AMERICAN PIT BULL
TERRIER BEFORE?
IF NOT, WHAT MADE YOU CHOOSE THIS BREED?
DO YOU FEEL YOU ARE READY TO TAKE ON SUCH
A RESPONSIBILITY THAT COMES WITH OWNING
THIS BREED?
PROVIDING OUR POTENTIAL PUPPY OWNERS
WITH THE RIGHT DOG IS OUR GOAL. PLEASE LIST
WHAT IT IS THAT YOU ARE LOOKING FOR IN A DOG.
WHAT ARE YOUR INTENTIONS  WITH THE DOG?
ARE YOU WANTING A DOG TO SHOW? A DOG TO
COMPETE WITH? ARE YOU WANTING A
HOUSEHOLD COMPANION?.
TELL US A LITTLE BIT ABOUT YOUR
EXPERIENCES WITH WORKING DOGS AND OR
SHOW DOGS.
DO YOU INTEND ON BREEDING THIS DOG? IF SO
PLEASE GIVE SOME INSIGHT
REFERENCE INFORMATION
PLEASE PROVIDE 3 REFERENCES INCLUDING
FULL NAMES AND PHONE NUMBERS
REFERENCE #1
REFERENCE #2
REFERENCE #3
PLEASE PROVIDE YOUR CURRENT
VETERINARIAN'S CONTACT INFORMATION.
ADDITIONAL INFORMATION
IF YOU WISH TO PROVIDE ANY ADDITIONAL
INFORMATION, PLEASE DO SO HERE
BEFORE SUBMITTING THIS APPLICATION, PLEASE
CONFIRM THAT YOU HAVE WENT OVER ALL OUR
INFORMATION AND BY PUTTING
"X" IN THIS BOX,
YOU ACKNOWLEDGE THAT THE $500 DEPOSIT IS
NON REFUNDABLE BUT IS TRANSFERABLE TO A
FUTURE LITTER.
ALSO BY PUTTING AN
"X" IN THE BOX YOU AGREE
THAT ALL THE INFORMATION GIVEN IS TO BE
TRUE, AND UNDERSTAND THAT IF ANY
INFORMATION IS FOUND TO BE FALSE, YOUR
APPLICATION WILL BE NULL AND VOID