Bossy Paws Rescue Adoption Application for Dogs

Animal you are interested in adopting
Applicant's First Name *
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
Are you interested in multiple animals or pairs? (list the name of additional animals of interest) * *
How did you find out about us?
Is this pet for you or someone else? *
What other pets do you own, please list their names, breeds, and ages? *
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations? *
Veterinarian's Name & Phone Number * If you have never owned a pet please tell us where you would go.
What preventative flea/tick/heartworm medication do you prefer? *
Were any of your pets obedience trained? *
Please check the main reason you plan to adopt a pet: *
If you answered "other" above, please explain here: *
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 answered "other" above, please explain here:
How long have you lived at this address? *
Please list the ages & relationship of those who live in your home (including yourself). *
Does anyone in your household have allergies to dogs/cats? *
On average, how many hours per day will your pet be left alone? *
How much do you think the annual medical bills will be for your pet? *
What would you do if the bills went over this amount? *
Will this pet be predominantly living inside, outside, or both? *
Do you have a completely fenced-in yard? If so, what kind of fence? *
If you answered "other" above, please explain:
Are there times when the animal will be tied/chained up? *
Where will the animal sleep? *
If you answered "other" above, please explain:
Will the animal spend any time in the garage? *
How will you handle housebreaking? *
How will you handle destructive behavior? *
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
What will you do with the animal when you go on vacation?
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? *
Please provide the name and phone number for a reference not related to you. *
Please provide the name and phone number for a reference not related to you *
Please provide the name and phone number for a reference *
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal. *
*	I understand that submitting this application does not guarantee approval or adoption of the specific animal I am applying for. I acknowledge that Bossy Paws Rescue reserves the right to decline my application based on the information provided or may recommend an alternative animal that better matches my home and lifestyle. I also understand that I am under no obligation to proceed with the adoption until a formal adoption agreement has been signed. By submitting this application, I certify that all information provided is true and accurate to the best of my knowledge.