loveabullrescue - Apply to Adopt

Name:
Age of Applicant:
Name of Co-Applicant:
Age of Co-Applicant:
Address:
City:
State:
Zip Code:
Major Cross Streets:
Home Phone:
Cell Phone:
Email Address:
Name other household members and their ages:
Do children visit the home?	Yes No
If yes, how often do they visit and what are their ages?
Describe your home:
Do you have stairs in or around your home?	Yes No
Please explain:
Is your yard fenced?	Yes No Some parts of it are
What kind of fence?	Block Chain Link Wood
What is the height of the fence?
Do you have a swimming pool?	Yes No Plan on getting one soon!
Is your pool fenced?
Do you have a hot tub or any other ornamental areas of water?	Yes No Plan on getting one soon!
Explain:
Own or rent your home?	Own Rent Staying with family temporarily
How long do you plan on living at this address?	Few months Up to a year 1-3 years 3-5 years 5-10 years Forever
Landlord name and phone number if renting:
Have you verified your landlord approves English Bulldogs?
Are you applying for a specific rescue dog?	Yes No
If yes, who?
Applicant's occupation:
Co-Applicant's occupation:
How many hours a day will the dog be left at home alone?
Do you have... (check all that apply)	Doggie Door Crate Baby gate
How do you feel about crating a dog?
Where will the dog be kept during the day?
Where will the dog be kept at night?
Please list any other animals living in the home, along with their ages and names:
Are all of the animals listed spayed or neutered?
Please list your current and previous vet's names, clinic names, and phone number:
Anyone in the house allergic to dogs?	Yes No I don't know
How will the dog be excersized?
Is everyone in the house in favor of adopting a bulldog?
What behaviors do you NOT want in a bulldog?
Describe your ideal bulldog:
Check all that apply about bulldogs:	They are intolerant of heat They do not swim They are stubborn They require a lot of attention They must be fed premium food
Do you consider your family active?	Yes No Somewhat
Do you agree to a home visit by one of our volunteers?	Yes No
Desribe why you want to adopt a rescue bulldog as opposed to buying from a breeder:
Have you ever been involved with breeding dogs?	Yes No
Explain:
Have you turned an animal into a rescue group or shelter before?	Yes No
Explain:
Have you ever been convicted of animal cruelty?	Yes No
Explain in detail the research you have done on the bulldog breed:
As an adoption requirement, the adopted bulldog MUST be signed up for a beginner training class at Petco or Petsmart. (An additional $100) Are you willing to add in that expense on top of the adoption fee?	Yes No Will have to see
Are you aware there is a $5 application fee?	Yes No I am aware now!
Any other info you would like us to know?
Please provide 2 personal references:
By entering your name in the box below, you agree that everything in this application is true to the best of your knowledge, and you are allowing us to contact your references and landlord. Please sign below: