Lucky Bulldogs Rescue Adoption Application

Lucky Bulldogs Rescue Adoption Application

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
Applicant's Employment Status:*
Occupation:*
Employer Name:*
Employer City, State and Zip Code:*
Employer Phone Number:*
Other Adults in Household (Name, Age, Occupation):*
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 type of home do you live in?*

Single Level HouseMulti-Level HouseApartment or CondoOther
Do you rent or own your home?*

RentOwn
Do you have a pool or a hot tub? If so, is it fenced or gated for safety?*

Pool, no fence or gateHot tub, no fence or gatePool, fenced or gatedHot tub, fenced or gatedNoneOther
Please describe your yard fencing (material, height, number of gates, if gates have locks). If you do not have a fenced yard, please describe how you will keep the dog safe when outside for potty breaks:*
Please list the name, age, and relationship to the applicant of any additional occupants in the home (including children). If none, please type N/A:*
Does anyone in your home smoke cigarettes?*

Yes, outdoors onlyYes, indoorsNo
Are you or anyone in your household allergic to dogs?*

YesNo
What are your primary reasons for wanting to add a 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: *
**LBR DOES NOT ADOPT TO ANYONE WHO HAS UNALTERED PETS IN THE HOME*
If you currently have dogs in your home, have they been spayed/neutered?*

YesNoNo Pets Currently in the HomeOther
Please list all names, types, and breeds of pets you have owned over the past ten years and reason why they are no longer with you, if applicable. If none, please type N/A:*
How long will your dog be home alone during the day?*
If no one is home during the day, how long will the dog be alone between potty breaks?*
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
Where will the dog go when you go on vacation?*
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 a regular vet? If yes, please include your vet's information below:*

YesNo
Vet Reference

Clinic NameSpecific Vet Name, If Applicable
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
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:*
Have you even been rejected for the adoption of any animal from a rescue or animal control agency? This does not include simply not being chosen to adopt a pet. If yes, please explain and include anything you would like us to know about that experience:*
References

Please provide two personal references below.
Personal Reference #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Years Known:*
Relationship to Applicant:*
Personal Reference #2*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Years Known:*
Relationship to Applicant:*
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!

Upload Files

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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 Adoption Application

References

Authorization