Adoption Application

Adoption Application - Dogs

Animal you are interested in adopting *
Your second preference
Applicant's First Name
Applicant's Last Name
Street Address
City
State
Apartment Number (if applicable)
Zip Code
Phone Number Please use the following format 248-555-1212
Email Address Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Is this pet for you or someone else?
Do you own other pets at the current time?
If yes, please list their names, breeds, and ages.
Are all of your pets spayed/neutered/fixed? Please email evidence of desex to bellevieanimalrescue@gmail.com * Please email evidence of desex to bellevieanimalrescue@gmail.com
Are your pets current on their vaccinations? Please email evidence of vaccinations to bellevieanimalrescue@gmail.com * Please email evidence of vaccinations to bellevieanimalrescue@gmail.com
Have you ever turned your dog or cat into a shelter?
If yes, please explain?
How do you feel about having pets spayed/neutered?
Are you familiar with heartworm and heartworm prevention?
If you have pets, will they adjust to a new pet in the house?
Please describe in detail the pet you are looking for. *
Do you own or rent your home? *
Please select your current residence type.
If you rent, does your landlord and lease allow pets? Please provide evidence of landlord approval for vets to bellevieanimalrescue@gmail.com Please provide evidence of landlord approval for vets to bellevieanimalrescue@gmail.com
Including yourself, how many people live in your household?
Please list the ages & relationship of those who live in your home.
Is everyone in your household aware that you are planning to adopt a pet?
Does anyone in your household have allergies to dogs/cats?
On average, how many hours per day will your pet be left alone? *
Will this pet be predominantly living inside, outside, or both?
Please provide a description of this pet's living conditions.
Do you have a completely fenced-in yard? If so, what kind of fence?
If you answered "other" above, please explain:
If you do not have a fenced yard, how will you let the animal out?
Are there times when the animal will be tied/chained up?
If yes, when will they be tied/chained up?
Where will the animal sleep?
If you answered "other" above, please explain:
How will you handle destructive behavior?
Will you keep the animal up-to-date on vaccinations and heartworm preventative?
If no, please explain:
Are you willing and able to exercise the dog on a regular basis?
If yes, what is the method of exercise?
If you answered "other" above, please explain:
For what reason(s) would you consider returning/giving up the animal?
Are you willing to take responsibility for this animal for the next 10-20 years?
If no, please explain:
Will you allow us to perform home checks?
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am also aware that BVAR cannot guarantee the health and temperament of the animal. I am also aware that this is NOT an adoption agreement, merely an application and my application will be reviewed to determine suitability to adopt the animal in question. My application form will be deemed incomplete until I have supplied BVAR via email copies of vet work for my existing pets, landlord approval for a pet and photos of my yard. *