Bobbie's Pit Bull Rescue & Sanctuary

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone*

Work Phone*
x

Cell Phone*

Alt Email*

How long have you lived at this address:

Birth Date of Applicant:

Are you planning to move to another home in the near future (explain):

Are you in the armed forces (do you live on or off post):

How did you hear about BPRS:

Do you rent or own your home:

RENTERS: Do you have written permission from your landlord to adopt a bully breed:

Please provide name and phone number of your landlord:

HOMEOWNERS: Does your insurance have breed restrictions.

HOMEOWNERS: What is the name of your insurance carrier?

How many adults and children live in your home (please list full legal name of each adult, relationship and age):

How many non-family adults and children will be in frequent contact with your adopted dog:

Who will be the main caretaker of your adopted dog:

Are your children respectful towards a pet or when interacting with an animal.

Does anybody who is in regular contact with your adopted dog has any allergies to dogs:

Which animal are you interested in:
Choose an animal: Birdie Bonnie Frankie Ms. Patmore Splash Star Sybil Tanner (Senior) Tara

What temperament are you looking for (i.e. calm, playful, good with other animals etc)

Are you a first time dog owner:

If owned before, what other breeds have you lived with:

What is your experience with bully breeds (i.e. Pit Bull type dogs):

How many other animals currently live in your home or visit frequently (please list all by species, age, breed and how long you have had it):

Are your current pets friendly with other dogs:

Please list and explain what happened to previous pets which no longer live with you:

Adding a dog to your home will completely change your daily routine. It will take 2-3 months for you to learn about your dog’s behavior, your dog to settle into his new home and to develop a comfortable routine for both. You will need to invest even more time if you adopt a puppy. Are you aware of this and do you agree to accommodate the needs of your new dog:

What kind of home do you live in:

Is your yard fenced (if yes what height and type of fence do you have?:

How do you plan to exercise your new dog:

Explain the daily routine of your new dog:

How much time will the animal spend alone during the day:

Will the animal be kept inside or outside?:

Where will the animal be kept when you are not home?:

Have you crate trained your current or previous dog(s):

Where will the animal be kept when you are home?:

Where will the animal sleep?:

How active is your lifestyle outside of work?

How will you involve your new dog into your daily activities?

Do you realize even with a fence that dogs need to be leash-walked every day?:

Have you ever taken one of your pets to a shelter? If yes, please describe the circumstances:

Have you ever been charged with animal cruelty?

Are you aware of the cost involved and financial responsibility which comes with owning a pet:

VETERINARIAN: Please provide name and contact information for your current or previous veterinarian. If you haven’t used a vet before, which one do you plan on using with your new dog:

PERSONAL REFERENCE: Please provide two references including name, relationship and phone number (family members or relatives are not acceptable):

EMPLOYMENT: Please list place of employment for yourself including the phone number, length of time at the job, and address:

Please list place of employment for your spouse or significant other including the phone number, length of time at the job, and address:

Following are the CONDITIONS OF ADOPTION. Are they agreeable to you (answer with yes or no): Puppies 0-12 months are required to attend Daycare at least once a week for socialization purposes, no exceptions. *

Every dog must be enrolled in positive reinforcement obedience training classes within 30 days of adoption (no exceptions):*

Accept financial responsibility and keep up with annual veterinary care, vaccinations and flea/tick and heartworm preventatives:*

BPRS will complete a home check before applications can be approved and will remain in contact with the adopter over the next 6 months to make sure problems or concerns are addressed appropriately to make this adoption a success for both, human and animal:*

BPRS REQUIRES that you will return the dog to our rescue if you cannot keep the dog any longer for any reason. Is this fully understood and acceptable:*

All dogs who enter our rescue will remain microchipped to BPRS*

BPRS is requesting an adoption fee based on the age or special needs of the dog (all animals will be fully vaccinated, altered and microchipped before they can be placed into the new home):*

I certify that the information entered is true and correct. Enter your full name and date to confirm:*