First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone

Which animal are you interested in
Choose an animal: Breezy Dumpling Gerbil Ivy

If there are 1 or 2 additional animals you're interested in, list them here.

Occupation*

Work hours (weekly)*

Please list the names and ages of all people currently living in the household.*

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

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

HOA?*
Choose one: Yes No

Breed Restrictions?*
Choose one: Yes No

Landlord Name

Landlord Phone Number

Is your yard...

What is the height of the fence

List 2 references, and their phone numbers (can not be a family member)*

Does everyone in the Household agree to this adoption?*
Choose one: Yes No

Who will be primarily responsible for the dog's care?

I have owned a dog before:

Is your Dog(s) friendly with males?
Choose one: Yes No Unknown

If NO, please explain:

Is your Dog(s) friendly with females?

If NO, please explain:

Would you describe your dog as social?
Choose one: Yes No Unknown

Does your dog attend:

When was the last time your dog(s) played with another dog?

Does your dog share toys?
Choose one: Yes No Unknown

Veterinarian's Name and Phone Number

Who's name are the vet records listed under? (Please contact your vet and inform them that we will be calling to request your records. They will need your permission to release them. If you do not contact your vet prior to our request for vet records it could delay your adoption process.)

Please initial below to give SOTB permission to access your vet records.

If you've been with your current vet for less than 5 years, please list the name, address, and phone number of your previous vet.

Please list all pets (dogs and cats etc.)in the previous/current 5 years. Include their name, breed, how long you owned them, and where they are now. If a pet is no longer with you, please tell us what happened to it.

What made you consider adopting a dog from us?

If you were referred to us, please list who referred you?

What traits are you looking for in a pet

My dog will primarily be a:

What best describes your lifestyle: (This will help us match a dog to your energy level and lifestyle)

My dog needs to get along with:

How much time will the animal spend alone during the day*

Where will the animal sleep*

Are you familiar with crate training?*
Choose one: Yes No

How many hours will the dog be alone each day?*

When I'm not at home, my dog will spend it's time:

How will you exercise your dog and how often?*

How many hours will your dog spend outside each day?*

Where?

I am comfortable doing some training with my dog to improve manners like jumping, pulling on leash, stealing food.*
Choose one: A lot Some None

Tell us about the type of dog you feel would fit best into your family, and what kind of life one of our dogs would have with you.

I understand that if the information I have provided in the adoption application is found to be false, my application may be returned and the dog shall be relinquished to South of the Bully Rescue without a refund of the adoption fee. *
Choose one: Yes No

I understand that the South of the Bully Rescue reserves the right to refuse an adoption of any animal to any person. *
Choose one: Yes No

I understand that dogs adopted from the South of the Bully Rescue come from a variety of sources and may have health or temperament problems that have not been observed while the dog was in foster care.*
Choose one: Yes No

I understand that the South of the Bully Rescue will not reimburse me for any future veterinary expenses, including a wellness exam, and that I am not entitled to a refund of the adoption and/or license fee.*
Choose one: Yes No

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