Adoption Application — Tornado Alley Bulldog Rescue

Adopt or Foster

Applicant Name

Title

First

Last

Middle

Applicant Age

Co-Applicant Name

Title

First

Last

Middle

Co-Applicant Age

Residence address:

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

Years at Residence

Home Phone

Area Code

-

Phone Number

Cell Phone

Area Code

-

Phone Number

Email

Distance willing to travel to adopt:

What large city is nearest to your home, or in what area of your state do you live? Example: North, West, Southwest.

Why do you want to adopt a bulldog?

What age bulldog are you willing to accept?

Up to age 3

Up to age 6

Any Age

Must the bulldog be good with children?

YES

NO

Must the bulldog get along with other dogs in your household and/or with visiting dogs?

YES

NO

Are you willing to accept a bulldog needing additional care?

YES

NO

If yes, what level of care are you comfortable providing

Daily medications, special food, etc.

Frequent medications, house training issues, difficulty walking, behavior issues, etc.

Blindness, deafness, incontinence, spina bifida, seizure disorder, etc.

Occupation:

Employer:

Address

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

Employer Phone

Area Code

-

Phone Number

Co-Applicant Occupation:

Co-Applicant Employer:

Co-Applicant Address

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

Co-Applicant Employer Phone

Area Code

-

Phone Number

List all household members other than the Applicants (Name, Age and Relationship)

Do children visit your home?

YES

NO

If YES, give ages and frequency

Are you willing to supervise the Bulldog at all times with children under the age of 10?

YES

NO

Who will be responsible for caring for the Bulldog?

Is anyone in the household allergic to dogs?

YES

NO

Are all members of the household in favor of adopting a Bulldog?

YES

NO

Type of Home

Ownership:

RENT

OWN

If renting, Landlord Name:

Landlord Phone:

Area Code

-

Phone Number

Do you have a fully enclosed yard? (Note: Invisible fences are considered "no fence")

YES

NO

If yes, Fence Type:

Fence Height:

How will the dog be exercised, how often, and who will supervise the dog while outdoors?

Does your home have stairs that the Bulldog will have to go up and down?

YES

NO

If yes, describe (e.g. length of stairs, steepness, open or closed tread, side walls, etc.)

Do you have a swimming pool, pond (including ornamental ponds), in-ground hot tub, lake, river, or any other body of water in or near your residence?

YES

NO

If yes, is the pool, pond, hot tub, lake or river securely fenced off from the rest of the yard?

YES

NO

Is your home air-conditioned?

YES - Central

Yes - Room

NO

Is your car air-conditioned?

YES

NO

Where will the Bulldog be kept during the day?

Where will the Bulldog be kept during the night?

What five words describe your family?

Please describe any changes you expect in your household in the next few years: e.g. new children, job changes, moving, etc.

How soon will you be ready to adopt a Bulldog?

Immediately

In the next 3 months

In the next 6 months

More than 6 months from now

Are any family members at home during the daytime?

All day

Most of the day

Some of the day

Seldome

Are you involved in any pet store, commercial dog breeding operation, or buying dogs for resale?

YES

NO

Have you ever been convicted of cruelty to animals?

YES

NO

Have you ever been suspended from a pure-bred dog association?

YES

NO

Have you ever owned a Bulldog?

YES

NO

Do you currently own any dogs?

YES

NO

Do you currently own any cats?

YES

NO

Please list all pets (dogs, cats and others) that live in your household now or did live in your household in the past 5 years. If you have more pets to list, please describe in Comments. Type/Breed: Age: Gender: Spayed/Neutered? Where is it now?

Have you ever given a pet to a rescue shelter organization or animal shelter?

YES

NO

If Yes describe the circumstances:

Have you ever had a dog that has bitten someone?

YES

NO

If yes, explain:

Do all your current pets get along well with other animals?

YES

NO

If no, explain

Do all your pets receive regular veterinary care and are they up-to-date on vaccinations?

YES

NO

What heartworm preventative do you use?

If you have adopted a rescue before, provide details:

Veterinarian Name:

Veterinarian Address:

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

Veterinarian Phone:

Area Code

-

Phone Number

What type of behavior in a dog would make you not want to adopt him or her?

How will you correct behavior problems?

Do you understand that rescued Bulldogs may have house-training problems, especially at first?

YES

NO

Are you familiar with common Bulldog health problems?

YES

NO

How much do you expect to pay per year to take care of a Bulldog?

Who will care for the Bulldog during vacations or overnight trips?

Can someone in the household provide daily care when the primary caregiver is away?

YES

NO

Do you have an emergency plan to provide care for your pets if you have to leave town suddenly?

YES

NO

If yes, Explain:

What do you feel is the proper use of crates or cages?

Can all household members travel to the rescue group to meet the prospective adoptee?

YES

NO

Are you willing to take responsibility for the Bulldog for its lifetime?

YES

NO

Do you agree to have a rescue volunteer inspect your home before and/or after an adoption is completed?

YES

NO

All Bulldogs adopted from us will be spayed/neutered before placement. Do you have any questions or reservations about this policy?

YES

NO

If yes, explain:

List name, telephone number and email address of two people, not in your household, who can verify your ability to take good care of a rescued Bulldog.

Additional comments:

I understand that dogs placed by Tornado Alley Bulldog Rescue (TABR) have been acquired, fed and boarded; have received necessary medical care and vaccinations; and have been tested to be free of heartworms and contagious disease at the expense of TABR volunteers, who receive no financial reimbursement for expenses. I understand that I will be asked to give a donation to Tornado Alley Bulldog Rescue to help offset the spaying/neutering and veterinary care of current and/or future rescued Bulldogs. The specific adoption amount is determined based on the individual dog's age, health, and rehabilitation requirements. I have answered all the above questions truthfully to the best of my knowledge. I have read a copy of the Adoption Contract, understand it and agree to abide by its terms should a Bulldog be available for placement in my home. I understand that if, for any reason, I can no longer care for or keep the dog, I must return it directly to a Rescue member, and I will sign all necessary papers for the surrender of the dog. I hereby make application to Tornado Alley Bulldog Rescue to have my name added to an appropriate waiting list to be considered for giving a rescued Bulldog a permanent home. I understand that my application may not be acknowledged unless or until I am being considered to adopt a particular Bulldog and that it may be important for me to be available for an interview by phone or in-person on short notice. By clicking I agree you allow TABR and its members to contact you via phone, email or regular mail with information about Bulldogs. * By checking this box you agree to all the conditions that apply to this application.

I Agree