Adoption Application

Bully Rescue of New Jersey Inc.

Dog Adoption Application
Submitting this application does not mean you are commiting to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle. A successful adoption depends on selecting the right dog for your household and a good understanding of the dog's needs and care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Name of the dog you want to adopt*
Adopter's First Name*
First Name
Adopter's Last Name*
Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Adopter's E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and Ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.*
Are your current pets fixed (spayed or neutered)?*

YesNo
If your current pets are not fixed, please explain why below.
Vet reference*
Vet name, address & phone number
Two Personal References*
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to adopt this dog?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researchingNext available Project Freedom Ride transport
Is anyone in your home allergic to dogs?*

YesNo
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have? Are you aware of any pet deposit required?

YesNoNot yet, but I willIt's written in our lease
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
How many hours per day will this dog be left alone? Please explain.*
Where will the dog sleep? *
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
Please check all that apply. I want to adopt this dog...*

As a family petTo train/use for agilityTo train/use as a therapy dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Please check all that apply. My adopted dog will...*

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenBe attending agility classesBe taking frequent car rides/trips with usBe boarded when we go on vacationStay with family when we go on vacationBe going camping with usBe going on boat trips with us
Have you ever returned, given away, relinquished ownership or had a dog/pet euthanized? Please explain in detail for each instance.*
What would cause you to return a dog?*
What do you think is a reasonable amount of time for a dog to adjust to life with you/your family? *
I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help Bully Rescue of New Jersey Inc. determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I also certify that I have never been convicted of animal cruelty or neglect. I agree to allow a representative from Bully Rescue of New Jersey Inc. to contact my vet for a reference and also agree to allowing a home visit or video call prior to adopting this dog. If I am approved to adopt a dog, I agree to pay the adoption fee. I understand that all dogs adopted from Bully Rescue of New Jersey Inc. will be spayed/neutered. I acknowledge that Bully Rescue of New Jersey Inc. is not responsible for any damage or injury caused by the adopted dog(s). I agree that if I'm unable to no longer care for the dog(s) anymore that I will return the dog(s) to BULLY RESCUE OF NEW JERSEY INC. and try to give BULLY RESCUE OF NEW JERSEY INC. a 2 week period to try and find a suitable foster or adopter for the dog(s). I will NOT bring the dog(s) to a shelter or abandon it/them.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*
Signature date*
Feel free to email us with any questions: bullyrescuenj@gmail.com Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above. Bully Rescue of New Jersey Inc. reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
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Bully Rescue of New Jersey Inc.