Bulldog Club of Utah Rescue
Email address
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Adoption Type Requested:
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Adopt
Foster
Either
Are You Interested In a Specific Bulldog? Please Indicate Which One:
First Name
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Last Name
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Age
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Co-Applicant First Name
Co-Applicant Last Name
Co-Applicant Age
Residence Address
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City
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State
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Zip Code
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Contact Phone Number
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Email
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What is your preferred method of contact?
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Distance willing to travel to adopt:
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What large city is nearest to your home, or in what area of your state do you live? Example: North, West, Southwest.
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Do you understand we do not ship dogs out of state and you must come to Utah for an adoption? Do you understand we do not ship dogs out of state and you must come to Utah for an adoption?
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Yes
No
Years at Residence
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Why do you want to adopt a bulldog?
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Do you understand and agree to pay an adoption fee for a rescue bulldog, and that the fee can range between $300-$500?
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Yes
No
What age of dog are you willing to adopt?
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0-3 years old
3-6 years old
6+ years old
Any Age
Must the bulldog be good with children?
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Yes
No
Must the bulldog get along with other dogs in your household and/or with visiting dogs?
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Yes
No
Are you willing to accept a bulldog needing additional care?
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Yes
No
If yes, what level of care are you comfortable providing? (Please note: ALL bulldogs require some daily care.)
Daily medications, special food, etc.
Frequent medications, house training issues, difficulty walking, behavior issues, etc.
Blindness, deafness, incontinence, spina bifida, seizure disorder, etc.
Occupation
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Employer
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Work Address (Include City, State, and Zip)
Co-Applicant Occupation
Co-Applicant Employer
Co-Applicant Work Address (Include City, State, and Zip)
List all household members other than the Applicants (Name, Age and Relationship)
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Do children visit your home?
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Yes
No
If yes, give ages and frequency
Are you willing to supervise the Bulldog at all times with children under the age of 10?
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Yes
No
Who will be responsible for caring for the Bulldog?
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Is anyone in the household allergic to dogs?
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Yes
No
Are all members of the household in favor of adopting a Bulldog?
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Yes
No
What type of home to do you reside in?
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House
Apartmennt
Condo
Mobile Home
Ownership
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Own
Rent
If Renting, Landlord Contact Information: (Note: if you rent, the landlord contact information is required. We must contact your landlord to verify that you are allowed to have pets.)
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Do you have a fully enclosed yard? (Note: Invisible fences are considered "no fence")
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Yes
No
If Yes, Fence Type (wood, vinyl, etc.) and Height
How will the dog be exercised, how often, and who will supervise the dog while outdoors?
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Does your home have stairs that the Bulldog will have to go up and down?
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Yes
No
If yes, describe (e.g. length of stairs, steepness, open or closed tread, side walls, etc.)
Do you have a swimming pool, pond (including ornamental ponds), in-ground hot tub, lake, river, or any other body of water in or near your residence?
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Yes
No
If yes, is the pool, pond, hot tub, lake or river securely fenced off from the rest of the yard?
Is your home air-conditioned?
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Yes
No
If yes, type
Central Air
Room
Where will the Bulldog be kept during the day?
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Where will the Bulldog be kept during the night?
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What five words describe your family and lifestyle?
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Please describe any changes you expect in your household in the next few years: e.g. new children, job changes, moving, etc.
How soon will you be ready to adopt a Bulldog?
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Immediately
In the next 3 months
In the next 6 months
More than 6 months from now
Are any family members at home during the day time?
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All Day
Most of the Day
Sometimes
Seldom
Are you involved in any pet store, commercial dog breeding operation, or buying dogs for resale?
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Yes
No
Have you ever been convicted of cruelty to animals?
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Yes
No
Have you ever been suspended from a pure-bred dog association?
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Yes
No
Have you ever owned a Bulldog?
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Yes
No
Do you currently own any dogs?
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Yes
No
Do you currently own any cats?
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Yes
No
Please list all pets (dogs, cats and others) that live in your household now or did live in your household in the past 5 years. If you have more pets to list, please describe in Comments. Type/Breed: Age: Gender: Spayed/Neutered? Where is it now?
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Have you ever given a pet to a rescue shelter organization or animal shelter?
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Yes
No
If Yes describe the circumstances:
Have you ever had a dog that has bitten someone?
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Yes
No
If yes, explain
Do all your current pets get along well with other animals?
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Yes
No
If no, explain
Do all your pets receive regular veterinary care and are they up-to-date on vaccinations?
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Yes
No
What heartworm preventative do you use?
If you have adopted a rescue before, provide details:
Veterinarian Name and Contact Info:
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What type of behavior in a dog would make you not want to adopt him or her?
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How will you correct behavior problems?
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Do you understand that rescued Bulldogs may have house-training problems, especially at first?
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Yes
No
Are you familiar with common Bulldog health problems?
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Yes
No
How much do you expect to pay per year to take care of a Bulldog?
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Who will care for the Bulldog during vacations or overnight trips?
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Can someone in the household provide daily care when the primary caregiver is away?
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Yes
No
Do you have an emergency plan to provide care for your pets if you have to leave town suddenly?
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Yes
No
If yes, describe
What do you feel is the proper use of crates or cages?
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Can all household members travel to the rescue group to meet the prospective adoptee?
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Yes
No
Are you willing to take responsibility for the Bulldog for its lifetime?
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Yes
No
Do you agree to having a rescue volunteer inspect your home before and/or after an adoption is completed?
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Yes
No
All Bulldogs adopted from us will be spayed/neutered before placement. Do you have any questions or reservations about this policy?
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Yes
No
If yes, explain
List name, telephone number and email address of two people, not in your household, who can verify your ability to take good care of a rescued Bulldog.
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Additional comments:
I understand that dogs placed by the BCA Rescue Network have been acquired, fed and boarded; have received necessary medical care and vaccinations; and have been tested to be free of heartworms and contagious disease at the expense of BCA Rescue Network volunteers, who receive no financial reimbursement for expenses. I understand that I will be asked to give a donation to the BCA Rescue Network to help with the spaying/neutering and veterinary care of current and/or future rescued Bulldogs. I have answered all the above questions truthfully to the best of my knowledge. I have read a copy of the Bulldog Club of America Rescue Network Adoption Contract, understand it and agree to abide by its terms should a Bulldog be available for placement in my home. I understand that if, for any reason, I can no longer care for or keep the dog, I must return it directly to a Rescue Network member, and I will sign all necessary papers for the surrender of the dog. The specific adoption amount is determined based on the individual dog's age, health, and rehabilitation requirements. I hereby make application to the Bulldog Club of America Rescue Network to have my name added to an appropriate waiting list to be considered for giving a rescued Bulldog a permanent home. I understand that my application may not be acknowledged unless or until I am being considered to adopt a particular Bulldog and that it may be important for me to be available for an interview by phone or in-person on short notice. By clicking I agree you allow the Bulldog Club of America Rescue Network and its members to contact you via phone, email or regular mail with information about Bulldogs. * By clicking this box you agree to all the conditions that apply to this application.
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Yes
Submit
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