Dog Adoption Application

Bella Run Equine

DOG ADOPTION APPLICATION
Bella Run Equine is a 501(c)3 organization dedicated to the rescue, rehabilitation, and rehoming of at-risk horses and dogs.

We ask that all potential adopters fill our this adoption inquiry when considering adding a Bella Run dog to their home!

In addition to filling out this application, please email/text us current photos of your yard, common area(s) of your home, and any current animals that you own.

Please understand that we do not do adoptions on a first come, first serve basis. Finding the right fit for our dogs and their new families is a priority!

If you have any questions about this form, please don't hesitate to reach out!

Remember... this is your chance to tell us all about yourself and about what you are looking for! There are no right or wrong answers, what may be a perfect fit for one dog may be the wrong fit for another, so type away so we can help you find your new best friend!
Your Information
Name of the dog you are interested in:
Full name:*
Date of Birth:*
Street Address:*
(no PO boxes)
City, State, Zip*
Cell Phone:*

Area CodePhone Number
Home/Other Phone:

Area CodePhone Number
E-mail:*
Employer:*
Character reference and phone number:*
(no family members)
Character reference and phone number:*
(no family members)
Household Information
Are all members of your household in agreement with this adoption?*

YesNoDon't Know
Who will be the pet's primary caregiver?*
Do you live in a*

HouseApartmentCondoMobile HomeVanTentPineapple under the seaOther
Do you own or rent?*

OwnRentSquatN/A, I'm a nomad
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?

YesNo
Does your HOA have any dog related rules?

YesNo
If yes, what are they?:
Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone
Do you have a fully fenced yard? (a fence is often not required)*

YesNo
Height and type of fence
Do you have any of the following?

Underground fenceOutdoor KennelDog RunKennel in garage/barnAccess to a nearby park or trailsNone
How many adults (18+) are in your household?*
What are their names and ages?
Does any adult in this household have a history of being charged with animals cruelty or neglect? *
Has Animal Control, the Dog Shelter, an Animal Rescue, a Dog Warden, or a Humane Agent ever visited your home? If yes, please explain?*
How many children are in your household?*
If children, what are their ages?
Have your children been around animals before?

YesNoNo children
Does anyone in your home have allergies to dogs or have asthma?*

YesNo
Has anyone in your home been to the hospital or urgent care for an animal bite?*
If so, describe the incident and how you handled it.
Have any of your animals ever sent a visitor/intruder to the hospital/urgent care?*
If so, describe the incident and how you handled it.
Please upload a photo of your yard space.*

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Please upload a photo of a common area of your home.*

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(Don't worry, we understand that homes are lived-in. We just need to see that you aren't a hoarder with poop piles on your floor!) Cancelof
Current/Previous Pet Information
List any pets you own or have owned, even briefly, in the past five years (species, breed, age, gender). Please state whether they are still with you or not.*
Which of the currently living pets are spayed or neutered?*
(We understand that farm animals are not spayed)
Where do your current animals spend the majority of their day?

Inside in a crateOutside in a fenced yardOutside looseInside looseOutside running the neighborhoodInside and outside (via a dog door, etc)I do not currently have animalsAt a friend’s houseAt a doggy daycare/boarding facilityI drop them off at the dog park and let the spirits guide them through their day while I’m at work.I do not currently have animals
If you do not currently own the animals you listed, where are these animals now?*
Have you adopted from a rescue or shelter before?*

YesNo
If yes, what group?
Have you ever given up a pet?*

YesNo
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:*
(If you do not own any animals currently and do not have a veterinarian, please note that and include the contact info of the veterinarian you will be using so we can confirm that they are taking on new clients.)
Please upload current photos of any of your past/present animals.

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New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*
What is your biggest pet peeve when it comes to animals and their behavior?

BarkingChewingNot coming when calledPotty accidentsGetting on furnitureOther
Are you aware of crate training?*

YesNo
Have you ever house-broken a dog or puppy before?*

YesNo
If the dog has an "accident" in your home, what type of correction do you plan to use?*
What are your thoughts on training programs/techniques that are built upon the idea that there is an “alpha”?*
How many hours each day will your new pet be home alone?*
Where will your new pet sleep at night?*
How will you supervise the dog's outdoor activity?*
Where will your new dog stay when nobody is home?*
What length of time will you allow your new pet to adjust to his new home?*
Are you willing to work through your new pet's issues, if any?*

YesNo
If your new pet has issues, how to you plan to solve them if you feel that you are in over your head?*
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Are you willing to attend puppy/obedience classes with your new dog if needed or recommended?*

YesNoNot sure
If yes, where would you choose to go?
What circumstances would lead you to return your dog to us after adoption?*
Do you understand that if you cannot keep your dog for ANY reason and at any time, we do require the dog to be returned to us? (This means that even if you move to Australia, you must bring that dog back to us in Ohio should you not be able to keep him/her.) *
How did you find out about Bella Run Equine?*

Petfinder.comFacebookFriend/Family MemberInternet searchOur websiteOther
I understand that the information that I have provided to Bella Run Equine is true and complete. I understand that Bella Run Equine selects adopters based on the best interest of the animals. I understand that submission and/or approval of this application does not guarantee placement.
Signature*
Date

MonthDayYear
Date

Bella Run Equine

Your Information

Household Information

Current/Previous Pet Information

New Pet Information