Bully Baby Rescue
The longest journey begins with one step... take a dog with you.
Name of dog you are applying for?
Full Name
First Name
Last Name
Year of Birth
Full Name co-applicant
First Name
Last Name
Year of Birth
Email Address
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have children?
Yes
No
Children's Age(s):
How did you hear about us?
What made you decide on a dog?
Type of dwelling (Single family home, condo, apartment, co op):
Do you rent or own?
How long have you lived there?
Proof of ownership or landlord approval will be required. Name/number of landlord
Do you have secure fence?
Yes
No
Type and Height of Fence (if any)
Have you had dogs before?
Yes
No
Have you ever had to give up a dog?
Yes
No
If yes, for what reason?
Everyone in household in agreement to adopting an animal?
Yes
No
Please list pets you own.
Are / were your animals spayed / neutered?
Yes
No
Anyone in household allergic to animals?
Yes
No
Who will be the animal's primary caretaker?
Where will the dog be kept at night?
How many hours a day will the dog be alone?
Will the dog be tied / chained outside?
Yes
No
Please provide name and phone number of your veterinarian.
Provide a reference that is not family member
First Name
Last Name
Reference Person's Number
May we visit your home before and after adoption?
Yes
No
I/we agree with the following statements
If we adopt a dog, we will provide professional vet care, a nutritious diet, and a loving home.
We also agree that we will return the dog if we can no longer keep it.
No member of our household has ever been convicted of cruelty to animals.
I agree to the following: Completion of this form is a requirement for adoption. The information provided here helps us ensure that the adoption is in the best interest of both you and the pet. By submitting this application, you give permission to Bully Baby Rescue, Inc to investigate and confirm the information that you provide. All forms become the property of Bully Baby Rescue, Inc upon submission. Bully Baby Rescue, Inc reserves the right to refuse adoption to anyone. Adoption approval and refusal decisions are made solely at the discretion of Bully Baby Rescue, Inc.
Please verify that you are human
*
Submit
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