2022 revised SMBC Adoption form

Adoption & Foster Application

Smoky Mountains Bulldog Rescue, Knoxville Tennessee
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Phone Number

Area CodePhone Number
1) Reference Name
1) Reference Phone Number

Area CodePhone Number
2) Reference Name
2) Phone Number

Area CodePhone Number
How did you hear about us?
What is your preference in regard to age, sex, or other requests?
Are you applying for a specific Bulldog that you saw on this website or our Facebook page?
What do you know about English Bulldogs?
Why are you interested in adoption?
How long have you lived at the address listed?
Residential Status

RentOwn
If you rent, please provide landlord's name and number:
How many adults live in the household?
Do you have any children in the home or that visit on a regular basis? If yes, what are their ages?
Does anyone smoke in the home?

YesNo
Have you ever owned an English Bulldog?

YesNo
If no, please describe a time you have encountered an English Bulldog.
Do you currently have any dogs?

YesNo
Do you currently have any cats?

YesNo
Please list the type, breed, age and sex of ANY animal in the home and indicate if they are spayed or neutered.
Are household pets current on vaccinations?

YesNo
Do you have a fenced yard?

YesNo
Where do you plan on keeping your English Bulldog?
How will your pet use the bathroom? (Fence, leash, paper train, etc):
What will you do with your pet when no one is home?
We require adopted animals to be spayed or neutered. Do you have any reservations or concerns about this policy?
What will you do if your pet exhibits bad behavior? (Destructive, soils the house, barking, etc)
Are you willing to give this pet at least 30 days to adapt to his or her new environment and family?

YesNo
This Bulldog may not be housebroken. Are you willing to take the time to work with the dog?
Do you foresee any major life changes within the next 36 months? (ex. Marriage, having children, moving, job change):
Please provide the name, address and phone number of your veterinarian.
Please leave any additional comments here:
Should be Empty:

Adoption & Foster Application