Adoption/ Foster Application

Date:
Name:
Address:

Home Phone #:
Work Phone #:  

Email:

Interested In (check all that apply):

	Adoption		Foster
	Purebred		Mixed Breed
	Male		Female

Ages of dog you would consider (check as many as apply)
Under 1 yr    1-3 yrs     3-6 yrs     Over 6 yrs

Would you consider a special needs dog?

Occupation (include spouse or s/o):
Hours of work (include spouse or s/o):

Do you have children at home? If yes, please provide ages:

Why do you want a BMD?
Have you ever owned a BMD before? If yes, when:

Other dogs owned: (include name, breed, dob, sex)


Any other pets at home? If yes, please describe:

Do you have a fenced yard? If yes, please describe type:

Where do you intend to keep the dog?
Indoors or Outdoors Please elaborate:


Does anyone in your house have pet/animal related allergies?
If yes, please explain:

Are you willing to let us visit your home?

Are you agreeable to returning the dog, should some unforeseen circumstance arise wherein you would no longer be able to keep it?

 

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