Fighting for the Bullys Pit Bull Rescue Adoption Application

1

This questionnaire is designed to help us determine if a specific dog is the right one for you and your household. Fighting for the Bullys reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions!

2

Name of the dog you are interested in first choice* This field is required.

3

Name of the dog you are interested in second choice* This field is required.

4

Your Name* This field is required.

First Name

Last Name

5

Your spouse`s full name:* This field is required.If it does not apply please type none

6

Your date of birth* This field is required.

7

Your spouse`s date of birth

8

Street Address:* This field is required.

9

City, State, Zip* This field is required.

10

Cell Phone:* This field is required.

Area Code

Phone Number

11

Employer:* This field is required.

12

Spouse`s Employer:

13

E-mail:* This field is required.

14

Please list three references and contact information* This field is required.

Name

Please enter a number

Name

Please enter a number

Name

Please enter a number

15

Are all members of your household in agreement with this adoption?* This field is required.

Yes

No

Don't Know

16

Who will be the pet's primary caregiver?* This field is required.

18

Do you own or rent?* This field is required.

Own

Rent

19

If rent, provide name and phone number of landlord:

20

If own, provide name of Homeowners Insurance

21

Are there any restrictions from your landlord or subdivision?* This field is required.

Number of pets

Size or weight restrictions

Breed restrictions

None

22

Do you have a fully fenced yard?* This field is required.

Yes

No

23

Height and type of fence

24

How many adults are in your household?* This field is required.

25

How many children are in your household?* This field is required.

26

If children, what are their ages?

27

Does anyone in your home have allergies to dogs or have asthma?* This field is required.

Yes

No

28

List any pets you own or have owned in the past five years, and their ages* This field is required.

29

How many of these pets are spayed/neutered?* This field is required.

30

Where are these animals now?

31

Have you ever given up a pet?

Yes

No

32

Please provide the name and phone number of your current and/or previous veterinarian and the name records are listed under* This field is required.

33

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)* This field is required.

34

We suggest using a crate. Do you agree?* This field is required.

Yes

No

35

If the dog has an "accident" in your home, what type of correction do you plan to use?* This field is required.

36

How many hours each day will your new pet be home alone?* This field is required.

37

Where will your new pet sleep at night?* This field is required.

38

How will you supervise the dog's outdoor activity?* This field is required.

39

Where will your new dog stay when nobody is home?* This field is required.

40

What length of time will you allow your new pet to adjust to his new home?* This field is required.

41

Are you willing to work through your new pet's issues, if any?* This field is required.

Yes

No

42

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?* This field is required.

Yes

No

43

Do you understand that a dog can be an 10 to 12 year commitment, and can cost $300 - $500 per year to care for?* This field is required.

Yes

No

44

Do you plan to take an obedience class with your dog?* This field is required.

Yes

No

Not sure

45

If yes, where?

46

Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?* This field is required.

Yes

No

47

What circumstances would lead you to give up your new dog?* This field is required.

48

I understand that I assume full responsibility for the welfare of this pet from the date of adoption.

49

We collect a non refundable donation of $250, are you in agreement?* This field is required.

Yes

No

50

We require a home visit once your application is approved. Do you agree with this requirement?* This field is required.

Yes

No

51

It is YOUR RESPONSIBILITY to pay for any medical cost your dog requires. Are you prepared to take on this responsibility?* This field is required.

Yes

No

52

You will be required to fill out a paper application and sign it when the adoption is approved and final.

Have a blessed bully day and thank you for choosing rescue.