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
Phone Number*
E-mail*
Applicant's Age
Residential Status

RentOwn
If rent, please provide your landlord's contact info
How long have you lived at the address listed?

Less than a year1 to 5 years6 to 10 years
Do you have an unfenced pool or body of water?

YesNo
If yes, please describe.
Reference Name #1
Reference #1 Phone Number
Reference #1 Email
Reference Name #2
Reference #2 Phone Number
Reference #2 Email
Work Schedule

Full TimePart Time
Hours will the dog be alone

3 to 5 hrs6 to 8 hrsOther
How did you hear about us?

FacebookInstagramFriendOther
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?

BeginnerSomeA lot
Why are you interested in adoption?
How many adults live in the household?
Does anyone smoke in the home?

YesNo
Do you have children under 12 years old

YesNo
If yes, please explain children's ages and experience with pets.
Do you have children who visit often?

YesNo
If yes, please describe ages and how often they visit
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?

YesNo
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?

YesNo
Do you foresee any major life changes within the next 36 months? (ex. Marriage, having children, moving, job change):

YesNo
If ye s, please describe
Please provide the name, address and phone number of your veterinarian.
Please leave any additional comments here:
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Adoption & Foster Application