AAHA Online Adoption Application

At AAHA, we evaluate each dog to determine temperament, and try to make the best match between dog and pet family. At times, we may determine that the dog you have chosen is not the best match for you. In these cases, we will try to match you with another dog in our rescue. However, we always reserve the right to refuse to adopt a dog to anyone. Please be honest on your application in order to help us find your forever friend. Items with an asterisk* are required.

Adoption fee $175

Your Information
Your First Name, Middle Initial, and Last Name *
Your First Name, Middle Initial, and Last Name
Please include your full name (add your middle initial, if applicable!)
Phone (primary) *
Phone (primary)
Address *
Additional phone contact
Additional phone contact
Date of birth *
Date of birth
Name of spouse/partner
Name of spouse/partner
If applicable
If your relationship were to change, who would keep the dog?
Name / Phone # / Address/ Relationship / Years-known
Name / Phone # / Address/ Relationship / Years-known
Name / Phone # / Address / How long have/had they been your vet?
Are you employed? *
Employer address
Employer address
Employer phone number
Employer phone number
What characteristics are most important for you to have in a dog? *
(check all that apply)
What is the activity level in your home? *
Number of days/weeks/months
Have you ever been declined an adoption through a rescue organization? *
Have you or anyone else in the house ever been convicted of crime? *
Your Family
Please list full name(s), date of birth & relationship
Do all members of your household want a pet? *
Do any family members have asthma or allergies? *
List type of animal, age, sex, and whether spayed or neutered (if applicable).
List type of animal, age, sex and history – how long you owned, etc.
Your Home
Do you rent or own your home? *
Do you live in an HOA? *
Many homeowner’s insurance companies have breed restrictions which may include, but are not limited to; Pit Bulls, American Pit Bull Terriers, American Staffordshire Terriers, Rottweilers, Dobermans, Akitas, American Bulldogs, and Chows. They will not insure you if you reside in your home and may cancel your policy if you add a dog breed that is prohibited. Please check your insurance policy regarding breed discrimination BEFORE submitting an application. Landlords may also have breed restrictions due to their insurance policies.
Do you have a yard? *
Do you have a pool? *
Do you have a pet door? *
Your Lifestyle
Why are you considering a pet in your life?
(Check all that apply.)
Where is your pet going to be when you are home? *
(Only type numbers in this field.)
When the dog is home alone where will the dog be? *
How do you plan on providing exercise for your pet? *
(Check all that apply.)
If required, would you be willing to enroll the dog in an approved training program? *
I would consider relinquishing my dog due to the following behavior problems: *
(Check all that apply.)
Would you attempt to resolve behavior problems with training before relinquishing your dog? *
Have you ever been in a situation where you have surrendered your pet to a shelter? *
Do you travel often? *
Please note
When AAHA rescues a Dog, it is for Life. If we find that you have knowingly neglected any of the basic needs of your dog as defined by Maryland law, we have the right to reclaim the dog to our care. By your signature, you agree that this dog will not be used in any illegal activities nor, if applicable, be found at any time in a municipality where pit bull type dogs are illegal. You also agree that the dog will be kept as a house pet and shall live indoors, shall not be sold for medical or experimental purposes. AAHA reserves the right to fully investigate the information provided in this document, if the application passes this review, you agree to a home check and a yard visit on a mutually agreed upon date and time. AAHA has the right to decide which home is appropriate and a decision by our Board of Directors is final, we reserve the right to deny any application.
I have read the above information
I have read the above information and have completed this application to the best of my knowledge. I understand that omission of information and/or failure to answer questions honestly may result in my application being denied.
(Type full name.)
Today's date: *
Today's date:
(Type full name.)