Apply To Adopt – Ariel Bully Rescue

Dog Adoption Application and Contract

Dog Interested In: *

Date of Application: *

Breed: *

Gender *

Applicant(s) Name: *

Address *

City *

State *

Zip *

Place of Employment: *

Since (mo/yr) *

Email: *

Home/Cell Phone: *

Work Phone: *

1. Please describe the temperament, activity level, and special qualities you are looking for in a dog *

2. What do you think are the most important responsibilities in owning a dog? *

3. Are you willing to take the time to housebreak a dog, and do you understand that changing a dog's environment may cause the dog to have accidents? *

4. If a behavioral problem arises, what steps will you address it? *

5. If you are applying for a puppy/dog who is not housetrained, how will you housetrain the dog: *

6. Does any member of the family have any allergies to animals? (Yes or No) Explain: *

7. Describe the kinds of personal situations where you might have to return your adopted dog, i.e., job loss, children, move, marital change, etc. *

8. For whom are you adopting the dog? *

Self
Gift
Other family member

9. How many people live in your home? *

10. Are there any children in the household? (Yes or Now) If yes, what are their ages? *

11. Who will be responsible for feeding and taking the dog outside? *

12. Who will take care of the dog in the absence of the primary caretaker? *

13. Do you plan taking the dog to obedience school? *

14. What kinds of animals have you owned? *

Name *

Breed *

Age *

Sex *

Is the pet Spayed or Neutered? *

Primarily Indoor or Outdoor? Explain: *

How did you acquire the animal? *

Has the pet been Spayed or Neutered? *

Year deceased (or last year you had pet)? *

Cause of death, or where pet is now : *

Name *

Breed *

Age *

Is the pet Spayed or Neutered? *

Primarily Indoor or Outdoor? Explain: *

How did you acquire the animal? *

Has the pet been Spayed or Neutered? *

Year deceased (or last year you had pet)? *

Cause of death, or where pet is now: *

Name *

Breed *

Age *

Sex *

Is the pet Spayed or Neutered? *

Primarily Indoor or Outdoor? Explain: *

How did you acquire the animal? *

Has the pet been Spayed or Neutered? *

Year deceased (or last year you had pet)? *

Cause of death, or where pet is now: *

Name *

Breed *

Age *

Sex *

Is the pet Spayed or Neutered? *

Primarily Indoor or Outdoor? Explain: *

How did you acquire the animal? *

Has the pet been Spayed or Neutered? *

Year deceased (or last year you had pet)? *

Cause of death, or where pet is now: *

16. Have you considered the extra expenses that will come with having a dog including vet care, food, supplies and equipment, toys, training and boarding? *

18. Do you own or rent your residence?

Own
Rent

Landlord Name

Landlord Phone Number

20. What type/size pets are allowed? How many?

21. Do you have a fenced yard?

Height of fence at lowest point? *

Highest point? *

22. Any holes or gaps? *

23. Is the fence attached to the home? *

24. Do you understand the risks of dog parks? (dog fights, dog owners not paying attention while dogs unleashed). *

25. How many hours will the dog be left unattended (i.e., workday)? *

26. When you are home, where will the dog be kept? *

27. Where will the dog sleep at night? *

28. When no one is home (i.e. at work, shopping), where will the dog stay (be specific)? *

29. What will you do with the dog when you travel? *

30. If you move, what will you do with the dog? *

31. Are you aware of the adoption fee (non-refundable donation)? *

32. Are you familiar with your local animal control laws? *

33. Have all adult family members agreed upon the dog? *

34. If you decided that is dog is not the right dog for you, then you will return the dog to: Ariel Bully Rescue? *

Name: *

Phone: *

Number of years you have known one another: *

Name: *

Phone: *

Number of years you have known one another: *

Name: *

Phone: *

Number of years you have known one another: *

Name: *

Phone: *

Signature of Applicant *

Print name *

Date *

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