Adoption & Foster Application

ALL ADOPTIONS WILL BE FINALIZED THROUGH A LEGALLY-BINDING CONTRACT.

If you are a renter or have a home owner's association, please check that you can have a bully breed in your home. You will need to provide proof of acceptance from landlord or HOA.

Have you ever been convicted of a felony?

I understand that CBBR may run a background check and will check all references.

Today's date

MonthDayYear

Are you interested in...

Interested in (dog/puppy name)

First Name

Last Name

Birthdate (required)

MonthDayYear

Social Security Number (will need to provide before adoption)

Drivers License Number (will need to provide before adoption)

E-mail

Current address

City

State

Zip Code

County

Housing

Type of housing

Can you provide copy of lease (if applicable)

Landlord name & phone number

Years at current address

If under 2 years, previous address

Phone (home)

Phone (cell)

Phone (work)

Occupation, employer, address & phone number

Years at employer

Work hours (typical)

Marital status

How many adults in house?

Name, age & relationship of other adults

Children

Ages of children (if applicable)

Fenced yard?

Kennel run?

Describe fence/kennel run

How will you handle exercise and potty needs?

How many hours will the dog be left alone?

Primary caregiver of dog?

Why adopt a bully breed?

Does anyone in home have allergies?

Do all adults in house want a bully breed?

If not, who is against it and why?

Describe your lifestyle

Other dogs in house?

Breed, Sex, Age, Spayed/neutered (please list all dogs including names)

Cats in house?

Sex, Age, Spayed/neutered (please list all including names)

How many other animals have you had in the last 5 years?

What happened to them? Still alive, put to sleep, given away, lost, hit by a car?

Where will the dog live primarily?

What activities will your dog participate in?

Will you crate your dog when needed?

If no, why not?

Will you attend obedience classes?

If not, why?

Are you prepared for the close personal attention this breed requires?

Do you have the time & ability to train and exercise a strong, large dog?

Are you ready to commit to owning this dog for the next 10-16 years?

How will you handle mischievous behavior, houstraining problems, digging, chewing, etc?

How will you reprimand any unwanted behaviors?

What would cause you to return the dog back to CBBR?

Color preference?

Age preference?

Sex preference?

Current vet's name, address & phone number

PLEASE PROVIDE 2 PERSONAL REFERENCES (not relatives)

Personal reference #1: Name, address, phone, relationship

Personal reference #2: Name, address, phone, relationship

PLEASE PROVIDE 2 FAMILY MEMBERS WHO WILL KNOW OF YOUR WHEREABOUTS FOR THE NEXT 5 YEARS:

Family reference #1: Name, address, phone, relationship

Family reference #2: Name, address, phone, relationship

How did you hear about CBBR?

Are you working with/applied to another rescue or shelter?

THE INFORMATION ON THIS APPLICATION WILL BE KEPT CONFIDENTIAL. BY CLICKING THE SUBMIT BUTTON, I CERTIFY THAT ALL INFORMATION PROVIDED IS COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

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Chicagoland Bully Breed Rescue Adoption & Foster Application