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

I understand, continue filling out application... *

Yes

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? *

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 *

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

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 *

Name *

First

Last

Phone Number *

Relationship *

About how long have you known this person? *

Name *

First

Last

Phone Number *

Relationship *

About how long have you known this person? *

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

Online Adoption and Foster Application

Reference #1

Reference #2

Reference #3