PBRC - Katrina Relief Application

  
     
 

 

 

 

 
DISCLAIMER

In the wake of Hurricane Katrina PBRC has received generous offers of help for pit bulls and their families who have been affected by this disaster.

Please note that PBRC has no way to follow up on the offers of assistance or coordinate efforts to match up victims and offers. The individuals listed have NOT been screened or approved by PBRC, nor is this listing an endorsement of those listed. This is simply a resource created for Katrina victims.

If you are a victim of the recent disaster and need assistance, please work to verify these offers, talk with people on the phone and ask for references before agreeing to turn over a dog to them. It may be helpful to contact a rescue group or shelter in the area that may assist you with following up on the offer and meeting with the person. You can view a list of known pit bull rescues here: http://www.pbrc.net/organizations.html

Pit bull Rescue Central assumes no responsibility should you choose to follow up with one of these offers. It is the sole responsibility of the caretaker to investigate and ensure the legitimacy of any offers of assistance.
 
     
 
 
First Name
Last Name
Street Address (line 1)
Street Address (line 2)
City
Zip Code
Phone # you can be reached at 
Select State or Province
E-Mail
Age 
Occupation
Do you live with
How many adults (21 and older) in your household? 
How many individuals under 21 in your household? 
What are the ages of the individuals under 21? 
If needed, would you pay for or assist with shipping expenses?
What type of help are you offering – i.e. foster, transport etc.
If you have chosen chosen 'other' please explain.

If offering to foster please provide the following information:
   
Dog's living situation (check all that apply)

 

 

 Dog will be house pet, living inside with family
Dog will live in basement or garage
Dog will live outdoors
Doghouse provided
Guard Dog for: Business   Residence
Other - please specify:
How many hours a day will dog be home alone? 
When home alone dog will be (check all that apply):

 

 

 In a crate, wire cage, or dog pen inside  
In a Kennel:   Outdoor   Indoor   Both
Tied up outside:   Cable Run   With a chain
Dog will be loose:   Indoor   Outdoor
Other - please specify:
How will you exercise the dog? (check all that apply)

 

 

 

 

 Leash walks every day
Will have cable or dog run in the yard
Will be free to run in fenced yard
Will have supervised access to unfenced yard
Will be free to roam around (Off leash and unsupervised in unfenced area)
Will bring to dog park (Public area where dogs can run and play together off-leash)
Other: - please specify in the text box below.
Is the home in an Urban Suburban Rural setting?
Yard size is: Small   Medium   Large   Acreage   No Yard
Is the yard enclosed by a fence? YES   NO
If so, height, length, and type of fence: 
Do you live in a:  House   Apartment ?
Do you own the property? YES   NO
If you are renting, please provide Landlord's name and phone number for verification:
Does your municipality have breed specific restrictions? YES   NO   Don't know
If so, please describe the nature of the restrictions
Do you have other DOGS? (Check all that applies) No other dogs
One or more spayed female
One or more neutered male
One or more UN-spayed female
One or more UN-neutered male
Please specify breeds and ages of other dogs:
What other kind of animals do you own?
Experience: Please relate any prior experience you have had with this breed:
References: Please supply the name and phone number of your current veterinarian, or the one who saw your previous pet/s, with their title identification. If you don't have a vet, please provide the name of your employer, clergyman, or anyone not related to you who can attest to your character. Vet references are preferred.
Additional information you would like to provide about yourself and/or the dog you would like to adopt: