Bayou Bully Rescue Adoption Application
Applicant Information
Name of the dog you are interested in:
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Your full name:
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Your age:
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Street Address:
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City, State, Zip
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Home Phone:
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Area Code
Phone Number
Work Phone:
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Area Code
Phone Number
Cell Phone:
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Area Code
Phone Number
E-mail:
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Employer:
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Character reference and phone number:
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Household Information
Are all members of your household in agreement with this adoption?
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Yes
No
Don't Know
Who will be the pet's primary caregiver?
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Do you live in a
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House
Apartment
Condo
Mobile Home
Other
Do you own or rent?
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Own
Rent
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?
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Yes
No
Are there any restrictions from your landlord or subdivision?
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Number of pets
Size or weight restrictions
Breed restrictions
None
Do you have a fully fenced yard?
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Yes
No
Height and type of fence
Do you have any of the following?
Underground fence
Kennel
Dog Run
How many adults are in your household?
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How many children are in your household?
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If children, what are their ages?
Have your children been around animals before?
Yes
No
Does anyone in your home have allergies to dogs or have asthma?
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Yes
No
Current/Previous Pet Information
List pets you currently own by species/gender/ spay/neuter/age.
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Have you ever owned a bully breed before? If yes, what breed.
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Do you prefer a gender?
Female
Male
Doesn't Matter
Have you adopted from an animal welfare group before?
Yes
No
If yes, what group?
Have you ever given up a pet?
Yes
No
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian or clinic:
New Pet Information
What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)
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Are you aware of crate training?
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Yes
No
Have you ever house-broken a dog or puppy before?
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Yes
No
If the dog has an "accident" in your home, what type of correction do you plan to use?
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How many hours each day will your new pet be home alone?
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Where will your new pet sleep at night?
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How will you supervise the dog's outdoor activity?
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Where will your new dog stay when nobody is home?
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What length of time will you allow your new pet to adjust to his new home?
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Are you willing to work through your new pet's issues, if any?
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Yes
No
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
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Yes
No
Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?
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Yes
No
Do you plan to take an obedience class with your dog?
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Yes
No
Not sure
If yes, where?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?
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Yes
No
What circumstances would lead you to give up your new dog?
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If you had to give up your dog, what would you do with him/her?
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Can you afford to spend at least (if not more) $500 per year for food and medical care for your pet?
Yes
No
Do you agree to provide yearly vaccinations including rabies, 7n1, worming, and maintain heartworm prevention for this dog?
Yes
No
I would not be able to keep the dog if the following medical issues occur
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Expensive vet bills
Requires daily medical treatment
Needs special diet
None
Other
I would not be able to keep the dog if the following behavioral issues occur:(check all that apply)
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Dog does not get along with other pets
Dog soils in the house
Digging
Chewing
Barking
Too much time/attention needed
Shyness
Aggression towards other animals
Aggression on a leash
Separation anxiety
Not friendly towards strangers
None
Other
Do you agree to return this dog to Bayou Bully Rescue if for any reason you can no longer care for it, with a non refundable adoption fee?
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Yes
No
What specific dog food will you feed?
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In your opinion, what makes a good pet owner?
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Additional Comments:
I understand that Bayou Bully Rescue reserves the right to seize any dog that is not being cared for properly.
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I agree
I understand that Bayou Bully Rescue is not responsible for any damage or physical harm caused by this dog.
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I agree
I understand that all future medical expenses past this date are my full responsibility
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I agree
I agree that I have answered the questions to the best of my knowledge and have not knowingly submitted false or misleading replies. I also agree to allow Bayou Bully Rescue to perform a home visit and check my vet references prior to adoption
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I agree
I agree to pay the $150 adoption fee to Bayou Bully Rescue associated with this dog. I understand that the dog I am adopting will be fully vaccinated, already spayed/neutered (if of appropriate age), and on heartworm prevention. ** When adopting a puppy, I agree to coordinate with the directors of Bayou Bully Rescue to schedule an available spay/neuter date when the puppy is of appropriate age
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I agree
I understand that I assume full responsibility for the welfare of this pet from the date of adoption.
Submit
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