Please copy and paste the following questions into an email or a word document, answer them and email the completed form to [email protected]
Name of dog:
Spayed/Neutered? (If yes, please send us a copy of the certificate of sterility)
Has this dog been vaccinated? (If yes, please send us a copy of the vaccine records)
Are you available to communicate by email?
Best email address:
What is the reason you are looking to re-home this dog?
How did you acquire this dog?
How long has this dog been in your home?
How long are you able to keep this dog until they may be adopted?
Has this dog ever growled, lunged, snapped or bitten an adult or child? (Please answer
“yes” or “no” and provide additional information)
Is this dog good with other dogs? (Please answer “yes” or “no” and provide additional
Cats? (Please answer “yes” or “no” and provide additional information)
Children? (Please answer “yes” or “no” and provide additional information)
Do they know any obedience commands? (Please answer “yes” or “no” and describe what they have learned)
Housebroken? (“yes” or “no”)
Crate trained? (“yes” or “no”)
Does this dog have any specific likes or dislikes?
Do you have any additional comments about this dog?
_____ (Initial) I certify that all of the information supplied
in this application is true, complete and correct. If any of
this information is not true, complete and correct, and I am
approved to participate in the Courtesy Listing Program, I
understand that Orange County Pit Bull Rescue reserves the
right to remove my dog from the program.
_____ (Initial) I understand that I am applying to list my dog
through OCPBR’s Courtesy Listing Program. OCPBR helps
network independently rescued or family dogs that are in
need of a forever home. OCPBR makes no representations or
warranties whatsoever, express or implied, about the Dog’s
health, behavior, or temperament.
Owner Name: _______________________________________________
Owner Signature: ____________________________________________