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Adoption Application

Adoption Application

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Thank you so much for seeking to adopt a bulldog from Indiana Bulldog Rescue! Before you complete our adoption application, please ensure that you and your family have read our Adoption Guidelines and Adoption Process.

Applicant Information

Applicant First Name *

Applicant Last Name *

Age *

Address 1 *

Address 2

City *

Zip / Post Code *

Country

Primary Phone *

Secondary Phone

Email *

What is the largest city near your home or in what area of the state do you live? *

How far are you willing to travel to pick-up a bulldog? *

Select One: *

Miles
Hours

Co-Applicant Information

Co-Applicant First Name

Co-Applicant Last Name

Age

Address 1

Address 2

City

Zip / Post Code

Country

Primary Phone

Secondary Phone

Email

Other Household Members

Please list all other household members.

Applicant Employment Information

Applicant Occupation *

Applicant Employer *

Employer Address 1

Employer Address 2

City

Zip / Post Code

Country

Employer Phone

Co-Applicant Employment Information

Co-Applicant Occupation

Co-Applicant Employer

Co-Applicant Address 1

Co-Applicant Address 2

City

Zip / Post Code

Country

Co-Applicant Employer Phone

Dwelling Information

Residence *

Rent
Own

Years at Residence *

Note: If you rent, the landlord contact information is required. IBR must contact your landlord to verify pets are allowed and if there are any pet restrictions (e.g. weight).

Landlord Name

Landlord Phone

Landlord Address 1

Landlord Address 2

City

Zip / Post Code

Country

Do children visit your home? *

Yes
No

If yes, please list visiting children's relationship to applicant, ages, and visiting frequency.

Are you willing to supervise the bulldog at all times with children under the age of 10? *

Yes
No

Do you have a fenced yard? *

Yes
No

If yes, please answer the following:

Does the fence fully enclose the yard?

Yes
No

Fence Height

How would the bulldog be exercised? How often? Who would supervise the bulldog while outdoors? *

Does your house have stairs that the bulldog would have to go up and down? *

Yes
No

If yes, please describe the stairs.

Do you have a swimming pool, hot tub, pond (including ornamental pond), lake, river or any other body of water in or near your residence? *

Yes
No

Is there a secure fence to keep the bulldog away from the water hazard? *

Yes
No

Is your home air conditioned? *

Yes
No

Is your car air conditioned? *

Yes
No

Where will the bulldog be kept during the day? *

Where will the bulldog be kept at night? *

Who will be responsible for the care of the bulldog? *

Is anyone in your home allergic to dogs? *

Yes
No

Are all family member in favor of adopting a bulldog? *

Yes
No

Expectations for an Adopted Bulldog

Why does your family wish to adopt a bulldog? *

Must the bulldog be good with children? *

Yes
No

Must the bulldog be good with other pets in your house and/or visiting pets? *

Yes
No

Would your family be willing to accept a bulldog who requires special care? *

Yes
No

Family Lifestyle

What five words best describe your family? *

Please describe any changes that your family expects to your household in the next five years (e.g. new children, employment changes, moving, etc.) *

How soon will your family be ready to adopt a bulldog? *

Immediately
6 months
1 year

Are any family members involved in any: *

Pet store operation
Commercial breeding operations
Purchasing animals for resale
No, none

Has any family member been convicted of cruelty to animals? *

Yes
No

Have any household members ever been suspended from a pure-bred animal association? *

Yes
No

Has your family ever owned a bulldog? *

Yes
No

Does your family currently own any dogs? *

Yes
No

Does your family own any cats? *

Yes
No

Please list ALL pets (cats, dogs, and others) that live in your household or have lived in your household during the past 5 years.

Has your family ever given a pet to a rescue organization or animal shelter? *

Yes
No

If yes, please describe the circumstances.

Has your family ever owned a pet that bit someone? *

Yes
No

If yes, please describe the circumstances.

Do all of your family's current pets get along well with other animals?

Yes
No

If no, please explain.

If your family has adopted or fostered a rescue animal before, please list the type of animal, animal name, and contact information for the rescue.

Veterinary Information

Do all of your family's current pets receive regular veterinary care? *

Yes
No
N/A, no pets

Are all of your family's current pets up-to-date on vaccinations? *

Yes
No
N/A, no pets

Are all of your family's current pets spayed or neutered? *

Yes
No
N/A, no pets

If you answered "no" to one or more of the last three questions, please explain.

What brand of heartworm preventative does your family use?

Veterinarian Contact Information

Veterinarian Name

Phone

Address 1

City

Zip / Post Code

Pet Care Philosophy

What type of behavior in a bulldog would make your family not want to adopt? *

What type of correction would your family use to correct any behavior issues? *

Does your family understand that there may be house training issues with a rescued bulldog, especially at first? *

Yes
No

Is your family familiar with bulldog health issues? *

Yes
No

How much does your family expect to pay per year to care for your rescued bulldog? *

Who will care for the bulldog during vacations and/or overnight trips? *

Can someone in your household provide daily care when the primary caregiver is away? *

Yes
No
N/A, live alone

Please outline your emergency plan to provide care for your pets if your family has to leave town suddenly. *

What does your family feel is the proper use of crates and cages? *

Personal References

Please list the names and phone numbers of two people who are not members of your household who can verify your family's ability to take proper care of a rescued bulldog.

Reference #1: Name *

Years known *

Relationship *

Phone *

Reference #2: Name *

Years known *

Relationship *

Phone *

Other Information

Are you interested in a specific IBR foster dog? If so, please provide the name below.

Please share any other information which you feel is important.

Agreements and Understandings

Can all household members travel to meet a prospective new bulldog? Our foster homes are located throughout the state of Indiana, northern Kentucky, and western Ohio. *

Yes
No

Is your family willing to take responsibility for the bulldog for its entire lifetime? *

Yes
No

Does your family agree to having an IBR volunteer inspect your home before and after any adoption? *

Yes
No

All bulldogs adopted from IBR will be spayed or neutered before placement. Does your family have any questions or reservations about this policy? *

Yes
No

If yes, please explain your family's questions or reservations.

Additional Agreements:

I understand that all bulldogs who are placed by Indiana Bulldog Rescue (IBR) have been acquired, fed, boarded; have received necessary medical and vaccinations; and have been tested to be free of heartworms and other contagious illnesses. This care has been paid for by IBR which is funded entirely by donations from supporters and adopters. Adoption fees are set based on the bulldog's age, health, and rehabilitation requirements. These adoption fees are due when the adoption contract is signed and will go into the rescue fund to provide care for future IBR rescues.

I understand that, if I do adopt a bulldog from IBR, I am committing to care for the dog for the remainder of its life. If for any reason, I can no longer care for or keep the bulldog, I will be required to return the bulldog to IBR.

By clicking the submit button, I accept these agreements and understandings. I also attest and warrant that I have been truthful and answered all of the above questions to the best of my knowledge.

Anti-spam filter: What is thirteen minus 6? *

Please note: If you are redirected back to this application page after you hit the send button, it means that you did not complete one of the required fields and the field missed will be highlighted in red. If your application is sent successfully, you will be redirected to a confirmation screen and will receive an email confirmation within a few minutes.

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