Maybell's Rescue Adoption Application

Full Name*

First NameLast Name

Street Address:*

City:*

State:*

Zip Code:*

Day Time Phone Number:*

Evening Phone Number:

E-mail*

Have you owned other dogs before? If yes, please list the breed(s).*

List other pets you currently own Please include breed, age, sex and whether they are spayed/neutered.*

Do any of your current pets have characteristics Bull Terrier Rescue should be aware of? (submissive, dominant, very playful, lethargic, food aggressive, shy, etc.)?*

What type of housing do you live in?*

How long at present address?*

Do you rent or own?*

Landlord Contact Info

If you rent please provide landlord's contact information

Household Members*

Please list names and ages of all people who will be living with the dog.

Occupations of household members?*

Animal Allergies?

Does anyone in your household have any known allergies to animals? If yes, please explain.

Are you willing to accept the additional responsibilities of a Bull Terrier?*

Do you have children?*

YesNo

If you have children, are you willing to teach the children the proper way to handle and respect a live animal? Please elaborate.*

How did you hear about Bull Terrier Rescue?

Describe your ideal dog.*

What other breeds have you considered?

Why would you like a Bull Terrier?*

Will this be your first Bull Terrier?*

YesNo

Have you and your family discussed whether your lifestyle is such that you HAVE the time and energy to properly care for a Bull Terrier? Please explain.

Do you fully understand and accept the fact that a Bull Terrier must never be allowed off leash unless within a fully fenced, secure area, and then never left unattended? Do you also understand that no amount of training can ever ensure a Bull Terrier can safely be off leash or unconfined, and that not strictly adhering to this restriction will place your Bull Terrier at risk of serious injury or death?*

Yes, I understand.

Have your current dogs been tested for heartworm, and are they on preventative?*

What type of flea protection do you plan to use?*

If you have other animals, are you prepared to spend the appropriate amount of time required to accustom them and the new dog to each other?

Veterinarian Information*

Please provide the name, address and phone number of your most recent Veterinarian.

Is someone home during the day?*

YesNo

If no, what are your work hours?

Where will the dog be kept during the day?*

Where will the dog be kept during the night?*

Who will be the primary caretaker of this dog?*

Do you have a fenced yard?*

If yes, please list type and height.

If your yard is NOT completely fenced, how do you plan to contain your dog to your property? Please elaborate.

Have you checked the yard for dangerous articles, plants, or anything the dog could use to climb the fence?*

Are you aware that Bull Terriers are willful animals, and must be confinded within a fenced are (or on a leash) to prevent them from exercising their powerful instinct to explore?*

Yes, I am aware.

Please describe your exercise plan for your Bull Terrier.*

Are you willing to obtain a crate and crate-train your dog?*

Yes, I will get a crate.No, I will not get a crate.

If you are not willing to get a crate, please explain why.*

What would you do if your dog bit someone?*

What would you consider unacceptable canine behavior(s) that would cause you to give your dog up?*

Are you willing to have your home visited by appointment by a Bull Terrier Rescue representative?*

Yes, I am willing.No, I am not willing.

Do you understand that dogs must always be MONITORED when interacting with children, with adults, and with other pets, no matter how nice the dog?*

Do you understand that no matter how much these dogs are evaluated by their foster families, they usually come with "baggage" we don't know about, and that the transition may take weeks or even months?*

Yes, I understand.

Bull Terrier Preference*

What sex of dog would you prefer? What age of dog would you prefer? Please note rescue Bull Terriers typically range in age from 1 year to 8 years old.

References*

Please provide the names, addresses, and phone numbers for two people who are not relatives and do not reside in your household.

Please use this space to explain why a Bull Terrier will fit in to your family and lifestyle. Feel free to include any further information you feel will help us in evaluation your application.*

Thank you for your cooperation. This comprehensive questionnaire helps us in placing the right dog with the right family. An improper placement, or one in which all the details are NOT known, can end tragically – usually for the dog. Thanks again and we look forward to meeting you in the near future.

I/We certify the information contained in this application is true and correct.

Maybell's Rescue & Bull Terrier Friends