Adoption & Fostering Application Form | Recycla-Bull Terrier Rescue of South Carolina

Online Adoption and Foster Application

IMPORTANT NOTE: All Fields on this form must be completed even if you do not have a response - please use (N/A) for incomplete fields. If you do not get a confirmation that your application has been submitted at the top of this page, please check for errors that will be in red for information missing. If you are having trouble please contact the webmaster.

I understand, continue filling out application... *

Yes

* Indicates required field

Today's Date *

Adopt or foster? *

Adopt Foster

Full Name *

First

Last

Middle Initial *

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mobile Phone *

Work Phone *

Which number do you prefer we call first? *

Home Mobile Work

When is the best time to reach you? *

Email *

Why do you want a Bull Terrier? *

Which pets do you currently own? Please list age, sex and breed *

Has each been spayed or neutered? *

Yes No Don't know

Is each current on vaccinations & heart worm preventative? *

Yes No Don't know

If no, please explain *

What happened to pets you no longer own? *

Have you ever lost a pet, or had a pet euthanized? *

Yes No

If yes, please explain *

Do you think your current pets will adjust to a new pet in the house? *

Yes No Not sure

Any concerns or considerations? *

Are you & other household members willing to take advice on how to best introduce pets and become the Alpha leader of a bull terrier? *

Yes No Not sure what this means

Are your current or past dogs obedience trained? *

Yes No

If no, please explain *

Who will train the bull terrier? *

What method(s) will you use to train? *

Why do you want this dog? *

If other, please explain *

Please list each adult & child in your household who will live with the bull terrier.
(Please use comments section at end of application, to list more info, if needed)

Name/Age Job Title@Work Work Hours Or: Student / Not Working / Retired *

If children live with or visit you, has each been taught how to behave around pets? *

Yes No

Will an adult always supervise the child around the bull terrier? *

Yes No

Does any member of your household have an allergy to dogs? *

Yes No

Is any family member afraid of dogs, or not wanting a bull terrier? *

Yes No

If yes, please explain *

Is someone home during the day? *

Yes No

If yes, who is & what hours? *

How many hours each day will the dog be without human companionship? *

Type of home *

If other, explain: *

Do you... *

Own Rent

If renting, please provide your Landlord’s name and phone number

Landlord's name *

First

Last

Landlord's Phone Number *

Do you have home owner association, or landlord, rules about the breed or size or weight of dog allowed? *

Yes No

If yes, what is stated? *

Do you have a copy of these rules? ( we do require you show proof) *

Yes No

Do you have a completely secure, fenced yard? *

Yes No

What type fence material? *

Height *

Gate with a lock? *

Yes No

If no, please explain *

Are there times the dog will be tied up? *

Yes No

If yes, please explain *

Do you have a dog door? *

Yes No

If yes, can it be locked? *

Yes No

Are there stairs inside/ outside your home? *

Yes No

An elevator? *

Yes No

If yes, where & how many? *

Will the dog spend any time in a garage or out building? *

Yes No

If yes, please explain *

Do you have a pool? *

Yes No

If yes, is there a fence around the pool? *

Yes No

If your new dog/puppy is not yet housetrained, what method will you use to train it? *

Are you able & willing to exercise the dog several times a day? *

Yes No

Method *

Where will the dog be kept during the day? *

Where will the dog sleep, be kept at night? *

Are you willing to use a crate? *

Yes No

If no, please explain *

If you drive a pickup truck, would you allow the dog to ride in the truck bed? *

Yes No

If you go away for a few days, or on a vacation, who will take care of the dog? *

Have you ever applied to a Bull Terrier Rescue Group before to adopt/ foster? *

Yes No

If yes, please list whom you contacted & time frame *

Are you willing to have a Bull Terrier rescue representative conduct a home visit with all family members & pets? *

Yes No

If no, please explain *

Are you willing to take responsibility for this dog for the next 10 to 15 years? *

Yes No

If no, please explain *

Are you willing to purchase & use monthly heartworm preventative and flea/tick prevention for the bull terrier? *

Yes No Not sure

If no or not sure, please explain *

Are you financially able to pay for annual vet visits, other vet visits & medicine, if needed? *

Yes No Not sure

If no or not sure, please explain *

What provisions will you make for the dog, should you become unable to care for him/her? *

Additional comments or information you may wish to share? *

Name of veterinarian for current or past pets: *

Veterinarian Address *

Line 1

Line 2

City

State

Zip Code

Country

Veterinarian Phone Number *

Please provide 2-3 personal references (not family) and their contact information:

Reference #1

Name *

First

Last

Phone Number *

Relationship *

About how long have you known this person? *

Reference #2

Name *

First

Last

Phone Number *

Relationship *

About how long have you known this person? *

Reference #3

Name *

First

Last

Phone Number *

Relationship *

About how long have you known this person? *

By selecting 'I agree' below, I certify that the information I have provided is true and correct. I recognize that any misrepresentation or omission of information will result in my losing the privilege of adopting a bull terrier.

I also give my veterinarian permission to release information about my current and past pets. Completion of this application does not guarantee we will have a Bull Terrier that is a good match, either now or in the future. *

I agree I do not agree

Thank you for taking time to complete the application!

IMPORTANT: if you do not get a confirmation that your application has been submitted at the top of this page, please check for errors that will be in red if information was missing. If you are having trouble please contact the webmaster.

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