Adoption Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Today's Date *MM/DD/YYYYName of dog(s) you are interested in *Name *FirstMiddleLastEmail *Street Address *Address Line 2City * State *Zip Code *How long have you lived at this address? *Home Phone555-123-4567Work/Cell Phone *555-123-4567Best time to reach you *Employer Information and Contact *Please provide your employer’s name, address and a contact phone or email.How long have you worked there? *Name of your Veterinarian *City and State of Veterinarian *Veterinarian Phone Number *555-123-4567Are you or any member on your immediate an active member of the military or national guard? *YesNoIf Yes, please provide details.Include the branch, rank and any relevant details.We will conduct a background check. Have you committed any major crimes or felonies? *YesNoIf Yes, please provide details.This dog will be (check all that apply) *InsideCompanionOutsideWorkingThe dog needs to get along with *Dogs *Kids Under 5 *Cats *This pet must meet the following requirements for our household *We prefer to adopt a pet with the following training (while understanding a new home means new and continued training as all pets take 3 months to adapt to a new home and routine. Do you understand this? *YesNoWhat type of personality are you hoping for in your new pet? *Rescue dogs can take 8-12 weeks to fully adjust to their new home. Are you prepared for this adjustment period? Or do you have other expectations? *Adults living in the home. Name and Age. *Children living in the household. Name and Age. *Frequent visitors to the household. Name and Age. *Do you Own or Rent? *OwnRentIf you rent, what is your landlord’s policy for pets?Please describe any pet restrictions, fees or requirements your landlord has for having a pet in your home.Landlords Information *Please provide your landlord’s name, contact phone and email so we can verify their pet policy if needed.If Rent or Own, for how long? *Do you have a fenced in yard? *YesNoDescribe fence and yardIf there is no fence, what is your plan for exercise and toileting?What’s your plan to ensure the pets safety? *Do you feel like the pet you're applying for can thrive in your care, with your schedule and set-up? *YesNoPlease list all current pets and pets you've had in the past 5 years. Please mention their name, breed, age, fixed, vaccinated, different vet than mentioned, preventions used and what has happened with the pet-if no longer with you and how long you had pet. *If you currently own animals, are they current on all vaccinations and preventions?What flea/tick prevention do you use?What heartworm prevention do you use?Do you feel financially stable enough to adequately care for a potentially high maintenance breed? *YesNoHave you ever given a pet away before, to anyone, for any reason? If so, please tell us about this experience. *Have you lost a pet in the last 5 years? If so, please explain. *What will an average day look like for your new pet? *How many hours per day will this pet be WITHOUT human companionship? *How many hours per day will this pet be outside? *Do you use a boarding facility or a pet sitter when needed? *YesNoIf Yes, please provide their informationPlease provide the name, phone number and email of the boarding facility or pet sitter you use when away.Where will the dog stay during the day? Night? *Who will be the primary caretaker of the pet? *Are you willing to allow for a home check? *YesNo financially. to and Reference #1 Name / Phone / Email *Reference #2 Name / Phone / Email *Reference #3 Name / Phone / Email *What experience do you have with French Bulldogs or other brachycephalic breeds? (Having no experience does not mean you will be denied; we love to talk about breed education!) ** I have read the above information carefully and have filled out this application honestly and understand that omission of information and/or failure to answer all questions and sign the application can result in a declined application *Enter your initials to acknowledge.French bulldogs are insanely expensive dogs to own and are incredibly high maintenance. Do you feel you are sufficiently well versed enough to own one? Have you done extensive research and become educated on the breed and are you ready to take on the financial responsibility of a Frenchie? *We reserve the right to ask for proof that you are financially sound and have sufficient income to meet the medical requirements that often come with owning a French Bulldog or any of our special needs dogs that may require regular vet visits. Given that Frenchie’s can find themselves in medical peril and emergency situations you understand that you are to always communicate with the rescue if something does arise as we can sometimes help fundraise for these dogs to assist with medical expenses in those unfortunate situation/circumstances. But if you ever feel you can not medically care for the dog or have a life style change they must be returned to our rescue and cannot be rehomed or euthanized for lack of funds. Frenchie’s do not travel well because they are brachycephalic if you have a job that requires you to travel a lot a Frenchie is probably not the dog for you. If you are going to have to move often and the dog will have to fly, this is probably not the dog for you. Frenchie’s are at high risk of being stolen and used for nefarious purposes. You understand that it is incredibly imperative to keep them safe at all times by making sure gates are locked, the dog is not left unattended outside, they are not left alone in a vehicle, they are not walked unless they are secure with a leash, etc. You take it seriously that their safety is paramount, and you keep them safe and secure at all times. *Please be aware that the application for a Frenchie will run higher than that of any other dog because they are high maintenance, and this will more than likely ensure that the dog will be provided for properly financially. Vetting Frenchie’s costs more than other dogs as does their nutrition. Our adoption fees are considered as a donation and can be tax deductible as we are a nonprofit organization. * If you are adopting a puppy, a $100 spay/neuter deposit will be required in addition to the adoption fee. A portion of this will be refunded once proof is provided that the puppy has been spayed/neutered and all vaccines have been completed (if applicable). All animals MUST be spayed/neutered BY 6 months of age (unless there is a VALID medical reason why that cannot happen, such as an abnormality). Also, if an omission or untruth is discovered after adoption takes place, I understand that the rescue reserves the right to annul the adoption and reclaim the animal. I give the rescue permission to investigate the information provided, including conducting a background check, as well as contact veterinarians, etc. I understand the adoption decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual pet, and other applications received on this pet. I understand it is the rescue's sole prerogative to decide which home is most appropriate, that my application can be denied at any time for any reason, that their decision is final, and I will not contest it. The rescue's goal is to place pets in loving, lifelong homes and any information gathered is used only to that interest. DO YOU UNDERSTAND ALL YOU HAVE READ ON THIS APPLICATION? *Please type your full name as your electronic signature to acknowledge that you have read and understand this application.Submit
