This questionnaire is designed to help Brick City Rescue, Inc. and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Please answer EVERY question. If a question does not apply to you, type N/A in the answer field. Your application will not be submitted until every question has been answered. Brick City Rescue, Inc. reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!
You MUST give permission to your veterinary office to release records to Brick City Rescue so that your application can be processed!