Rescue Dog Adoption Application

BFFE Rescue Dog Adoption Application
This questionnaire is designed to help BFFE Rescue and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. BFFE reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions.
Applicant Information
Name of the dog you are interested in:*
Your full name:*
Your age:*
Street Address:*
City, State, Post Code*
Home Phone:

Area CodePhone Number
Mobile:

Area CodePhone Number
E-mail:
Referee and phone number:
Household Information
Who will be the pet's primary caregiver?*
HouseApartmentGranny FlatOther
OwnRent
If rent, provide name and phone number of Realesate:
YesNo
Number of petsSize or weight restrictionsBreed restrictionsNone
YesNo
Height and type of fence
How many adults are in your household?*
How many children are in your household?*
If children, what are their ages?
YesNo
YesNo
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
Where are these animals now?
YesNo
If yes, what group?
YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
YesNo
Where will your new pet sleep at night?*
YesNo
How many hours each day will your new pet be home alone? Without at least the company of one family member?*
Where will your new dog stay when nobody is home?*
YesNo
YesNo
YesNoNot sure
NeverFear for the safety of a new babyMovingFinicalPersonality Clash with another pet
YesNo
YesNo
Should be Empty:

BFFE Rescue Dog Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information