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American Pit Bull Registry
(APBR)
Pit Bull Ownership Screening Form
Name:
Street Address:
City:
State/Province:
Zip:
Phone:( )
Alt Phone:( )
Email:
Occupation:
Spouse Occupation:
Household Income:
Home Occupants:
Age:
Other pets: Yes No
If yes, how many List pet type and age:



Past pets owned and what happened to them:


What made you choose a Pit Bull:



Have you done research on the Pit Bull and are you aware of its unique needs: Yes No

What are your plans in ownership:



Will this Pit be inside, outside, or mixed:




References (Name, Relationship, Phone, Email):





Who will take care of your Pits basic health: When in need of vet care who will provide:

Preference of ownership:Male Female
Age Color(s)


How will you responsibly confine your Pit:


If you are unable to care for this Pit in the future would you return it without the expectation of any refund and with the understanding that doing so a new home could possibly be found and will help combat the un-necessary and needless overcrowding and euthanasias that happen through local shelters. Yes No

Will you be registering your new Pit Bull with The American Pit Bull Registry: Yes No

Please complete this form and email to me if your are interested in upcoming litters.

Firebeetle99@comcast.net