Adoption Application

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name and ages of all household members

Why do you want a Bull Terrier?

Tell us what you know about Bull Terriers:

Have you ever owned a dog and been responsible for it?

Tell us about your other pets:

If you rent, do you have permission from your landlord to have a dog?

Tell us about your yard:

Is there a leash law in your county?

Are you planning on moving in the near future?

Are you willing to have a member of the rescue do a home check?

Tell us about your weekend activities:

How often and where do you go on vacation?

Who will be the primary caregiver?

Who will be responsible for training?

Are you aware there is an adoption fee?

Why do you think there is an adoption fee?

Are you ready for the financial responsibility of the following: Heartworm prevention, quality food, vaccinations, and veterinarian care?

Name, address and phone number of your vet:

Have you ever surrendered a pet to a rescue or shelter?

If the dog is too much trouble, what will you do?

Where will the dog spend the day?

Where will the dog sleep?

If needed, are you willing to attend obedience classes?

Will you use a crate with your new Bull Terrier?

Why or why would you not use a crate?

What type of temperament do you prefer?

Would you consider a special needs dog?

How would you correct the dog?

What role will the dog play in your family?

Name, address and phone number of two references:

Any additional comments you may wish to share?

How did you hear about The Bull Terrier Rescue Club of Southwest Florida?

Bull Terrier Rescue Club of Southwest Florida, Inc.