application

Chicagoland Bully Breed Rescue Adoption & Foster Application
ALL ADOPTIONS WILL BE FINALIZED THROUGH A LEGALLY-BINDING CONTRACT.
If you are a renter or have a home owner's association, please check that you can have a bully breed in your home. You will need to provide proof of acceptance from landlord or HOA.
Date
Are you interested in...
Interested in (dog/puppy name)
First Name
Last Name
Birthdate
Social Security Number
Drivers License Number
E-mail
Current address
City
State
Zip Code
County
Housing
Type of housing
Can you provide copy of lease (if applicable)
Landlord name & phone number
Years at current address
If under 2 years, previous address
Phone (home)
Phone (cell)
Phone (work)
Occupation, employer, address & phone number
Years at employer
Work hours (typical)
Marital status
How many adults in house?
Name, age & relationship of other adults
Children
Ages of children (if applicable)
Fenced yard?
Kennel run?
Describe fence/kennel run
How will you handle exercise and potty needs?
How many hours will the dog be left alone?
Primary caregiver of dog?
Why adopt a bully breed?
Do all adults in house want a bully breed?
If not, who is against it and why?
Describe your lifestyle
Other dogs in house?
Breed, Sex, Age, Spayed/neutered
Cats in house?
Sex, Age, Spayed/neutered
How many other animals have you had in the last 5 years?
What happened to them? Still alive, put to sleep, given away, lost, hit by a car?
Where will the dog live primarily?
What activities will your dog participate in?
Will you crate your dog when needed?
Will you attend obedience classes?
Are you prepared for the close personal attention this breed requires?
Do you have the time & ability to train and exercise a strong, large dog?
Are you ready to commit to owning this dog for the next 10-16 years?
How will you handle mischievous behavior, houstraining problems, digging, chewing, etc?
How will you reprimand any unwanted behaviors?
What would cause you to return the dog back to CBBR?
Color preference?
Age preference?
Sex preference?
Current vet's name, address & phone number
PLEASE PROVIDE 2 PERSONAL REFERENCES (not relatives)
Personal reference #1: Name, address, phone, relationship
Personal reference #2: Name, address, phone, relationship
PLEASE PROVIDE 2 FAMILY MEMBERS WHO WILL KNOW OF YOUR WHEREABOUTS FOR THE NEXT 5 YEARS:
Family reference #1: Name, address, phone, relationship
Family reference #2: Name, address, phone, relationship
How did you hear about CBBR?
THE INFORMATION ON THIS APPLICATION WILL BE KEPT CONFIDENTIAL. BY CLICKING THE SUBMIT BUTTON, I CERTIFY THAT ALL INFORMATION PROVIDED IS COMPLETE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

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