Rescue Dog Adoption Application

French Bulldog Welfare Trust Adoption Application
All adopting parties are required to complete this form prior to adoption. The FBWT 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, County, Postcode *
Home Phone:

Area Code Phone Number
Cell Phone:

Area Code Phone Number
E-mail:
Household Information
Who will be the pet's primary caregiver? *
Do you live in a *

House Apartment
Do you own or rent? *

Own Rent
Do you have a fully fenced yard? *

Yes No
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?
Have your children been around animals before?

Yes No
Current/Previous Pet Information
List any pets you own or have owned in the past five years, and their ages
How many of these pets are spayed/neutered?
Have you adopted from an animal welfare group before?

Yes No
If yes, what group?
Have you ever given up a pet?

Yes No
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous vet:
New Pet Information
How many hours each day will your new pet be home alone? *
Where will your new pet sleep at night? *
Where will your new dog stay when nobody is home? *
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm

French Bulldog Welfare Trust Adoption Application