BBR Adoption/Foster Application
Please take your time when filling out the application.
Answer questions fully and to the best of your knowledge.
Completely answered forms allow us to accurately process applications.
Thank you!
BAMA BULLY RESCUE
Adoption/Foster Application
I am interested in:
Giving a dog a permanent home.
Fostering a dog until it finds a home.
Fostering, with the option to adopt.
I'm not sure- I have several questions.
Please tell us how you found Bama Bully Rescue
Petfinder.com
1800saveapet.com
pbrc.net
Friend, Relative, or Co-worker
MySpace
Other (please explain)
PERSONAL INFORMATION
First Name
Last Name
Street Address
City
Address Line 2
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Phone Number
Email Address
Your Occupation:
Your Age:
Have you ever applied to adopt a dog from BBR before?
Yes
No
Would you agree to having a volunteer come to your house to complete a homecheck prior to adoption?
Yes
No
Not Sure
Your Living Situation:
Alone
Live With Parents
Live With Roommate(s)
Live With Spouse or Partner
Other
How many adults are in your household? (Over 21 years of age)
How many people in your household are under 21 years of age?
What are their ages?
Is everyone in the household on board with getting a new pet?
Yes
No
I'm not sure (explain)
By checking yes, you agree to absolve Bama Bully Rescue and its representatives from any liability in reference to a dog from our program.
YES
NO
Are you aware of our adoption fees?
Yes
No
I need more information
THE DOGS
Name of dog you are interested in:
Second Choice:
I prefer:
A puppy
An adult
Either
I prefer:
A male
A female
Either
Do you have any preferences in regards to color and/or appearance?
I would like the dog to be:
Already spayed or neutered.
Unspayed or unneutered.
It doesn't matter. (Explain)
I want a new dog because:
Myself/My family wants a new pet.
We want to breed.
We need a guard dog.
Other (Explain)
Do you have any preferences
regarding behavior/obedience?
What steps are you willing
to take to correct unwanted behaviors?
What interested you in a Pit Bull or Bully breed?
YOUR LIFESTYLE
I live in:
An apartment.
A house.
A condo.
A mobile home.
Do you own or rent?
I own my home.
I rent my home.
My parents own the home.
A friend/relative owns the home.
If you are renting, please provide the name and number of your landlord or homeowner.
If you rent, are you aware of a pet deposit and willing to pay one?
I have paid the pet deposit
There is no deposit required
There is a deposit but I have not yet paid it.
Do you have permission to own a bully breed from your landlord or
homeowner's association/ insurance company?
Yes
No
I'm not sure
If I ever have to move, I will:
Only move to a place that welcomes my dog.
Find my dog(s) a home if needed.
Relinquish my dog(s) to BBR.
Relinquish my dog(s) to a shelter.
Does the area in which you live have Breed Specific Legislation (BSL)?
Yes, see below
No- I called animal control and verified this.
I'm not sure.
BSL Restrictions:
Have you thought about and are you prepared
to deal with the discrimination that may come
with owning a bully breed?
(ie: neighbors/relatives, community bias)
Yes, I am prepared for it.
No, I was not aware of the discrimination.
I would like more information about this.
DOG LIVING SITUATION
Dog's Living Situation
Dog will be a house pet, living inside.
Dog will live in basement, or on the porch.
Dog will live outside, inside if bad weather.
Dog will live outside with a dog house.
Dog will live outside on a chain.
Dog will live outside on cable run or tie out.
Other (explain)
How many hours a day will the dog be alone?
When home alone, the dog will be:
Loose indoors.
In a crate in the house.
In a crate until he/she is housetrained.
In a garage or the basement.
Outside in a fenced in yard.
Outside in a kennel.
Tied up outside.
Roaming free.
Other (explain)
How will the dog be exercised?
Leash walks every day.
Outside in fence.
Outside on a cable run.
Supervised access to unfenced yard.
Free to roam around.
Other (explain)
My yard size is:
Small
Medium
Large
Acreage
No yard
Do you have a fence?
Yes
No
Partial
Will install one soon.
OTHER PETS/PAST EXPERIENCE
Do you have other pets?
No
One or more spayed female.
One or more neutered male.
One or more UNSPAYED female.
One or more UNNEUTERED male.
Indoor cat(s)
Outdoor cat(s)
Indoor/Outdoor cat(s)
Other
If your current pets are NOT spayed
or neutered please explain why:
Please give us specifics about your other dogs (breed, age, etc) and tell us about any other animals you own. Please list cats and other pets here. Please specify how they live (outside, inside, etc).
If you have other dogs or have had in the past, please let us know their current situation.
Still have the dog.
Died of old age.
Died of disease.
Euthanized for behavior problems.
Killed by accident.
Hit by a car.
Lost/Stolen.
Ex spouse/partner kept after separation.
Returned to shelter or adoption agency.
Relinquished to an animal shelter.
Gave to friends or relatives.
Sold.
Picked up by animal control.
Please specify:
REFERENCES
Name of your veterinarian:
Phone number of clinic:
How long have you been a client?
If you do not have a veterinary reference, please explain why:
I currently have no pet and no vet.
I am a first time pet owner as an adult.
Provide us with one unrelated person's name and phone number who can
attest to your character:
Indicates Response Required
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