Length of Time at this address:*
Birth Date of Applicant:*
How did you hear about us?*
Have you adopted or applied to adopt from Bully Paws in the past? If so, when?*
In what type of home do you live?*
Do you own or rent your home?*
Do you have any intentions of moving in the near future?*
If yes, please explain:
HOME OWNERS: Please provide the name of the home insurance carrier you use – many have breed restrictions
RENTERS: Have you received written approval from your landlord to have an animal in your rental unit? You may be asked to provide this document
RENTERS: Please enter your LANDLORD'S NAME and PHONE NUMBER. Your landlord will be contacted prior to any dog being placed in your home.
FOR MEMBERS OF THE MILITARY AND SPOUSES ONLY:
Please list the names of all household members who are active duty military:
How long have you been stationed in this area?
Did you have any animals at your last duty station?
If yes, where is/are the animal(s) now?
What would you do with an animal if you are transferred to another duty station?
Have you ever owned or spent time with a large Bully breed – American Pit Bull Terrier or Staffordshire Terrier? *
Why do you feel an APBT or Staffordshire Terrier is an appropriate dog for your family and lifestyle? *
Have you done any research on dog ownership, specifically bully breeds, to make sure you are choosing the right breed for your lifestyle? Are you confident that you can handle their training, exercise and socialization needs?*
Which dog would you like to adopt?
Choose an animal:
Aries- Courtesy Listing
Bella- Courtesy Listing
Bellah- Courtesy Listing
Belle- Courtesy Listing
Blu- Courtesy Listing
Boo Boos- Courtesy Listing
Chico- Courtesy Listing
Chloe- Courtesy Listing
Cooper- Courtesy Listing
Cooper- Courtesy Listing
Culpeper Shelter Montana
Diamond- Courtesy Listing
Diesel- Courtesy Listing
Dixie- Courtesy Listing
Dixie- Courtesy Listing
Dynasty- Courtesy Listing
Ellie- Courtesy Listing
Guinness- Courtesy Listing
Hershey- Courtesy Listing
Jericho - adoption pending
KGAC Shelter Rosie
Mack- Courtesy Listing
Margaret- Courtesy Listing
Max- Courtesy Listing
Norman- Courtesy Listing
Phoebe- Courtesy Listing
Queen- Courtesy Listing
Rebel- Courtesy Listing
Roo- Courtesy Listing
Shirley- Courtesy Listing
Simba- Courtesy Listing
Sky- Courtesy Listing
Smash- Companion Animal Clinic
What traits in this particular dog appeal to you?*
If you are not interested in a particular dog at this time, please indicate which AGE GROUP and TEMPERAMENT that you feel would best accommodate your family's lifestyle. Please describe at least 3 characteristics that you are looking for in your next dog.*
If you are looking to adopt a puppy (one year or younger), do you feel that you have a schedule that can accommodate their needs? Puppies need exercise as an outlet for their high energy levels.
How many adults (18 years and older) reside in the household and/or will have regular direct contact with the adopted dog? *
Please list the full names and birthdates of all adults in the home:*
What is your relationship with the other adult(s) in the household? (i.e. sibling... roommate... spouse...etc.)*
Do any children (18 and under) live in the home? If so, what are their ages?*
Do any children (18 and under) frequently visit the home? If so, what are their ages?*
Who in the household will care for the pet? List all names of caregivers:*
Does anyone in your house have any allergies to dogs? *
How many animals live in your home or visit frequently?*
List the NAME, GENDER, AGE, SPECIES/BREED, and LENGTH OF TIME you've had each of these animals, (e.g. "Ranger, male, age 5, DSH cat, owned 2 years")*
We believe in proper dog introductions when adopting to families who already have dogs in the home. Are you able and willing to take the time to meet with a volunteer to do this as part of the adoption process?
Please list any previous pets that are deceased or no longer living with you. Tell us what happened to that pet.*
Have you ever taken one of your pets to a shelter? If yes, please describe the circumstances: *
Is your yard fenced?*
No, this property is not fenced.
This property is partially fenced.
This property is completely fenced.
If yes, what height and type of fence do you have?
If you don’t have a fence, how do you plan to have your dog relieve/exercise itself?
Do you realize even with a fence that dogs need to be leash-walked every day?*
How active is your lifestyle aside from work? *
How do you plan to exercise your dog? Please explain the daily routine the dog will have:*
How much time will the animal spend alone during the day?*
Bully Paws requires that dogs under 1 year of age attend daycare to ensure they are properly socialized. If the dog that you are interested in adopting is under the age of 1 year, what program would you use for daycare ? Please provide name and phone number for daycare program.
Will the animal be kept inside or outside?*
Inside and Outside
Where will the animal be kept when you are home?*
Where will the animal be kept when you are not home?*
Where will the animal sleep?*
We strongly advise using a crate with your new dog – do you agree? *
Do you have a crate to use with your new adoptive dog? *
Please provide the CONTACT INFORMATION for your current or previous veterinarian. If you haven’t used a vet before, which one do you plan on using with this dog?*
PERSONAL REFERENCE #1: Please provide the NAME/ RELATIONSHIP/ PHONE # for a personal reference. (Family members are not acceptable for references)*
PERSONAL REFERENCE #2: Please provide a second personal reference (NAME/ RELATIONSHIP/ PHONE #)*
Please list place of employment for yourself including the phone number, length of time at the job, and address: *
Please list place of employment for your spouse or significant other including the phone number, length of time at the job, and address: *
A home visit is required before any dog is placed in your home. Is this agreeable?*
Depending on the age of the dog, Bully Paws requires an adoption fee when adopting a dog. All animals are altered, vaccinated and microchipped prior to placement. Is this agreeable?*
Bully Paws requires that newly adopted dogs and their owners complete an obedience training class within 90 days of adoption. Is this condition agreeable?*
We expect all adopters to continue with vaccinations, preventatives and regular medical check-ups to maintain their dog's health. It will be YOUR financial responsibility to pay for any care that your dog requires. Are you prepared to accept this responsibility?*
If you are ever unable to keep the dog, we require the dog be returned to us.
Is this agreeable?
I certify that the information entered on this applicant is true. Enter your name and date*