Pawz 4 Life Animal Rescue Bully Breed Adoption Application

Pawz 4 Life Animal Rescue Inc.
Bully Breed Adoption Application

Pawz 4 Life Animal Rescue
P.O. Box 20134
Saginaw, Mi 48602

* Today's Date:

* Name(first & last):

* Spouse/Partner Name:

* Date of Birth:

* Address:

* City:

* State:

* Zip:

* Drivers License/State ID:(This MUST be filled in, will not except app. if not)

* Email Address:

* Home Number:

Cell Number (if applicable):

Work Number (if needed, may we contact you here):

* Name of dog you are applying for:

* Please briefly describe the ideal behavior of a pet for your home/family:

Residential Information

In order to adopt a bully breed type from Pawz 4 Life Animal Rescue, you must own the home you live in and be over the age of 21.

* What type of home do you live in?

House

Mobile Home

Other

* Do you have a fenced in back yard?

Yes

No

If yes, height and type of fence:

* If not, how will you exercise your bully breed and let it out safely to go potty?

* If you do not have a fenced in back yard and you choose to use a chain or tie out as a way to let it outside, How long will the dog be left out and will it be left unattended?

*

Do you have any Breed Specific Legislation in your city? If so, please describe the restrictions or ordinance:

Family Information

*

Is everyone in the household in agreement on adopting a bully breed?

Yes

No

*

Why are you looking to adopt a bully breed and how long have you been searching?

*

Have you ever owned the breed you are applying for?

Yes

No

*

If no, please explain some things you do know about this breed:

* How many adults will be in the home?

*

How many children will be in the home and please list ages?

*

Are you able to/willing to educate the children that will interact with this breed? And why is this important?

*

If you currently don’t have children are you planning on any in the future?

Ye

No

*

If so, would this make you give up on this dog?

Yes

No

*

Who is the dog for? why? And who‘s responsibility will it be to look after this dog?

*

Please explain what you know and how you feel about Breed Specific Legislation:

*

Have you thought about and are you prepared to deal with the discrimination that may come from owning a bully breed dog. Ex. homeowners insurance, neighbor relations, community bias, ect?

Adoption Information

*

Where will the dog be kept while at work or when you leave the house and will it be kept with other animals?

*

For how many hours will it be unattended?

*

What are your thoughts on crate training?

*

Do you plan to go through training with your dog?

Yes

No

*

Are you aware that you may have to potty train your new dog? Is this something you are willing and able to do?

Yes

No

*

What form of discipline do you plan to use and what have you used in the past?

*

When you go on vacation who will be caring for the dog and where will this be done?

*

What would you do if the dog shows destructive behavior? Ex. Jumping, digging, chewing, tearing up furniture ect?

*

What would make you give up on a dog? Please list any and all reasons and why.

*

How long would you give this dog to adjust to its new surroundings and Home?

*

Should this dog ever get into a fight with another dog, how would you break it up?

*

How do you plan to socialize your bully breed?

*

What would happen and how would you react if your bully breed dog showed aggression toward a human?

*

What would you do if this dog ever got loose?

*

If a situation arose such as a move, or addition other pets, or relationship difficulties, or any other expected/unexpected events, what would happen to the dog?

*

Have you ever bred any animals before? If yes please explain:

Pet History

*

List of pets currently own: names, breed, age, and are they current on all vaccs and spayed/neutered:

*

Are they indoor or outdoor animals?

*

Can you afford annual vaccinations and check ups?

Yes

No

*

Are you aware of what heartworm disease is?

Yes

No

*

If so, do you plan to use a monthly preventative on this dog?

Yes

No

*

Please list the pets you have owned as an adult: name, breed, age and what happened to them: Please be specific.

*

Have you ever given up on a pet and why?

References

*

Veterinarian where your pets records are or have used in the past:

Name and Number:

Please provide 3 personal references.

* Name & Number:

Pawz 4 Life Animal Rescue Inc. has the right to deny this adoption application for any reason, at any time, for the safety and well being of the animal that they are applying for. We also will not accept or process any application that is not completely filled out, including the 3 personal references (friends, family, neighbor, ect). The potential adopter agrees that all of the information provided is the truth and accurate to the best to there knowledge.

* Signature/Initials:

* Indicates Response Required