Bull Terrier Rescue, Inc. Adoption Application

Bull Terrier Rescue, Inc.
...a second chance

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Adoption Application

Name (First, Middle, Last):
Date:

Address:
City:
State:
Zip Code:

Home Phone:
Work Phone:
Cell Phone:

Email Address:

Are you applying for adoption or foster care?	Adoption Foster Care
Are you applying for a specific dog?	Yes No
If yes, please indicate which one:

Are you over 21?	Yes No
Do you rent? (If you rent, we'll need written and verbal Landlord verification that there will be no issues with a bull terrier on the leased premises.)	Yes No
Do you own your home?	Yes No

Are you...	Married Single Domestic Partner
Please list the names and ages of children living in your home:
List others in the home who may have contact with the dog, and their relationship to you

Would you like a pet that is...	Male Female Either
Preferred age range:	to
Why are you interested in adopting a bull terrier over other available breeds?
What qualities would you like in a dog?
What do you NOT want in the pet that you get?
What do you think the hardest part of having a bull terrier will be?

What is your occupation and work schedule?
How much time will you spend with your dog?
Where will your dog stay when you are at home?
Where will your dog sleep?
Do you have an appropriately sized crate for your dog?	Yes No
If no, are you planning to acquire one before adopting?	Yes No
How will you exercise your dog?
How often will you exercise your dog?
Will you be able to keep your dog socialized through exposure to other socialized dogs? If so, please describe where and how.
What do you know about bull breed dog-on-dog aggression?
How would you manage this trait in your bull terrier?
Please relate any prior experience you have had with this breed:
Please list other breeds you have had experience with:
Have you read any publications and websites for information about bull terriers? If so, which ones?
What methods will you use to correct your dog for behaviors you find inappropriate?
Please list your previous and current dogs, cats or other pets: (Name/Breed) (Sex/Age/Neutered?) (Current Health or Cause of Death)

Do you have a yard?	Yes No
If so, type and height of fence:
What will you do with the dog when you go on vacation?
If you have to move, what would you do with the dog?
Have you ever taken a puppy through puppy class or an adult dog through obedience class?	Yes No
Which trainer/school would you take your dog to?

Please provide the name, address and phone number of your vet:
Please supply the name and phone number of a credible reference (employer, clergyman, community spokesperson):
Please provide any additional information you think is important: