First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Most of our dog placement and communication happens over Facebook and Messenger. Do you have a Facebook/Messenger account (or would you be willing to set one up)?

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home*
Choose one: Rent Own Other

If you rent, please enter your landlord's name and phone number*

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence
Choose one: Privacy Chain Link Invisible

What is the height of the fence

Please name all adults (18+) who live in your household. *

How many children are in the house*

If children are present, what are their ages?

Please list all animals currently living in your home

Are all of your animals spayed/neutered

Are all your animals up to date on vaccinations

Veterinarian's Name and Phone Number*

Describe how you will train the pet*

What issues are you willing to work with*

What issues are you not willing to work with*

Reference #1*

Reference #1 Phone*

Reference #1 Email

Reference #2*

Reference #2 Phone*

Reference #2 Email

Reference #3*

Reference #3 Phone*

Reference #3 Email

Do you have experience with dogs? If so, tell us about it. If not, don't worry. Are you willing to learn about dogs, specific bullies, while volunteering with us? *

Do you have any comments or questions

How did you hear about us?
Choose all that apply: Our Website Facebook Flyer/Newsletter Petfinder/Adopt-a-pet Retail or Training Partner SAB Event SAB Volunteer/Alumni

If a current Save-a-Bull foster referred you, please tell us their name:

I certify that the information entered on this applicant is true. Enter your name and date*