LBR Adoption Addendum

Lucky Bulldogs Rescue Application Addendum

www.luckybulldogsrescue.org
Name*

First NameLast Name
Age of Applicant*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
What is the name of the dog you are applying for?*
**PLEASE NOTE** A separate application must be filled out if you are applying for multiple dogs.
Why do you feel this dog would be a good fit for your home and family?*
What are your primary reasons for wanting to add this dog to your family?*
Please list the name, breed, sex, and age of any pets currently living in your home. If none, please type N/A: *
Where will the dog be while home alone?*
(ex. kennel, closed off room, gated area)
Will the dog have access to the outdoors when home alone?*

YesNo
Where will the dog sleep at night?*
What type and brand of food do you plan on feeding the dog?*
How often do you plan on walking the dog?*

Less than once a week1-3 times per week4-7 times per weekOnce per dayMultiple times per day
Other than walks, what other physical activity would you like to do with your dog?*
(ex. hiking, dog park, play dates)
Please describe what a typical day would be like for the dog:*
How do you plan on training the dog?*
How do you plan on disciplining the dog if they misbehave?*
How will you handle potty accidents inside?*
Will the dog be allowed on furniture?*
Which of the following reasons might prompt you to return the dog to Lucky Bulldogs Rescue? Please select all that apply:*

Excessive BarkingBitingDiggingMoving to a New HomeDestructive Behavior (ex. chewing)DivorcePoor Watch DogFinancial ProblemsGrowling at GuestsAllergiesDifficulty with HousetrainingLeash AggressionExcessive Vet BillsGrowling at GuestsSheddingFood AggressionNew Spouse/Partner Doesn't Like Dog or is AllergicNone of the Above
Please describe any experience or knowledge you have of special needs, health issues your pets have had, or common health conditions associated with the breed of dog you are applying for:*
Do you plan on getting Pet Insurance for the dog? If not, please explain how you plan to pay for possible emergencies that could cost $4,000-$10,000:*
Do you have any travel plans scheduled in the next 90 days? If yes, please describe:*
If chosen to adopt this dog, do you agree to keep the dog as an indoor pet and supervise when outdoors?*

YesNo
Please explain your plans to pick up the dog from the listed foster location if you are chosen:*
Is there any additional information you'd like to share with us?
If you have any family photos or photos of your pets, we'd love to see them!

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Authorization
This application is not a legal, binding contract, whereby filling it out does not guarantee pet adoption. By typing, "I Agree," and submitting this Adoption Application, you are agreeing that Lucky Bulldogs Rescue may contact your veterinarian and references to ascertain your history regarding pet care and consistency. Please understand, our mission is to find permanent homes for homeless pets. We use this form as a part of our screening process, thus it may take from several days to several weeks before adoption can occur. Any false statements provided on this application, during the interview process, or at any time during our decision making period will result in an automatic denial.
By typing, "I Agree," below and submitting this Adoption Application, you hereby certify that the information provided by you in this application is true and correct.*
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Lucky Bulldogs Rescue Application Addendum

Authorization