Adopt a Peaches Pup

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Area CodePhone Number

Household Members with Age(s)*

Does Anyone in Your Home (or a frequent visitor) have Dog Allergies?*

YesNo

Pets at Home with Age(s), Breed(s) and where you got them from*

What Type of Dog Are You Interested in Adopting?

Are You Currently Applying to Adopt a Dog from Another Agency?*

Yes - already appliedYes - intending to applyNo

What Types of Dogs Have You Applied for and Which Agency?

Intended Vet Name*

First NameLast Name

Intended Vet Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Intended Vet Phone Number*

Area CodePhone Number

How Much Do You Expect to Spend Annually for the Care of Your Dog?

How Much Are You Willing to Spend in Case of an Emergency?

Bully Breeds May Require Specialized Food or Medications. Are You Willing to Provide These Items?

Have You Ever Adopted from a Shelter or Rescue?*

YesNo

Have You Ever Surrendered or Returned an Animal?*

YesNo

Please Explain Why

Have You Owned a Bully Before?*

YesNo

Are You Willing to Potty Train a Dog?

How Will You Aid in the Adjustment to Your Home?

Including duration of time expecting for adjustment

On Average, How Many Hours/Day Will the Dog Be Home Alone?*

Where Will the Dog Stay When Home Alone?*

Do You Rent or Own?*

Landlord Name

First NameLast Name

Landlord Phone Number

Area CodePhone Number

How Many Years Have You Lived There?

If less than 1 year, please indicate with 0

Do You Have a Fence?*

YesNo

Please Describe

Type, Height, etc

Do you have Steps in your home or to your yard?*

YesNo

Please Describe

Do You Have a Pool?*

YesNo

Please Describe

Above or below ground, fenced in, etc

Additional Information to Consider for Your Application

Reference #1 Name*

First NameLast Name

Reference #1 Phone Number*

Area CodePhone Number

Reference #2 Name*

First NameLast Name

Reference #2 Phone Number*

Area CodePhone Number

We are very excited that you have considered adopting from Peaches Bully Rescue! In an effort to match dogs and forever homes accurately, there is a process by which the adoption of each pup goes through. Please be patient and know that we are looking out for everyone's best interest.

Adopting a dog is a large responsibility. PBR is here to help every step of the way including vetting the pup so that we are aware of their medical and behavioral needs prior to placement, providing resources of help, and accepting a dog back under any circumstance.

Be advised, that all members of the household and animals must be present for the meet and greet which will take place at the foster home. All transportation of the dog, in the event of a return, is the responsibility of the adopters. All adoption fees are non-refundable.

We hope that we can match you with the perfect dog and in the meantime, feel free to contact us if you have any questions. peachesadoption@gmail.com

Signature*

Date

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