Adoption Application

BnB Rescue Adoption Application

Name of pet you are interested in.

First and Last Name

Age

Applicant Cell Number

Applicant Other Number

Co Applicant Name

Co Applicant Age

Co-Applicant Cell Number

Co Applicant Email

Type of Residence

Other Type of Residence

Address

Number of people in household. Please list ages.

Employer & Occupation

Spouse/Co Applicant Employer & Occupation

Do you own or rent your home?

If renting, does landlord allow pets? A letter will be required from your landlord confirming pets are permitted under your lease.

Any Breed or Size Restrictions?

Landlord/Management Company and their contact information.

Type of Street?

Where will your pet live?

Where will your pet spend nights?

Other - Where will pet spend nights?

Do you have a fenced yard? If yes, please tell us type of fence, height and if it is fully enclosed?

Will you allow the dog to run loose? If yes, where?

Does anyone in the home have pet related allergies?

How many hours per day will your pet be alone?

Where will your pet stay when left alone?

Who will be responsible for the pet's care?

Have you ever re-homed a pet? If so, please explain the reason.

Do you understand the pet you are applying for may not be housebroken?

Are you willing to take the time to work with your pet on housebreaking, chewing, training needed if such problems arise?

Would you consider obedience training for your new dog?

How much time are you prepared and willing to allow for your new pet to adjust to their new home?

Would you consider obedience training for your new dog?

Have you considered the expenses of adopting pet such as medical care, food, training, toys, etc?

Have you had any pets in the last 5 years?

If yes, please provide name of pet, years owned, if they were spayed/neutered and where the pet is now?

Do you consider your dog as a part of your family?

Are you aware that a dog is a lifelong commitment?

Under what circumstances would you consider returning the dog to us?

I am at least 21 years of age and all of the information I have given is true and complete.

I understand that all pets will be spayed or neutered.

I agree to hold BnB Rescue, it's officers, directors, family members, agents, representatives and volunteers, (“Indemnitees”), harmless for any injury(s), damages, costs and claims.

If after the adoption, I decide to terminate my ownership of the pet for any reason, regardless of the passage of time or the age of the pet, I will surrender the pet back to BnB & will NOT give or sell the pet to any other shelter, rescue, or individual.

Thank you for taking the time to complete our adoption application. We try very carefully to match your lifestyle and needs with our available foster dogs. Please feel free to tell us a little bit about yourselves in the space below. Thank you!

Signature

Date

Month

Day

Year