(OLD-DO NOT USE)Love-A-Bull, Inc. - Adoption Application Form

Please Confirm: I am aware that Love-A-Bull does not do out-of-state adoptions. Furthermore, I understand that there are stated limitations on the website for adoptions outside of the pre-determined coverage area. *
Applicant Information
First Name: *
Last Name *
Email Address: * Please enter correctly as this is the main way we will contact you.
Street Address *
Apartment Number (if applicable)
City *
State *
Zip Code *
Phone Number: * Please use the following format 248-555-1212
Drivers License Number and State: *
Age of Applicant: *
Emergency Contact Name (Not Adopter): *
Emergency Contact Phone Number: *
Additional Information
Do you own or rent your residence? *
Does your residence allow pit bull type dogs? *
Please select your current residence type: *
If applicable, Name & Phone Number of Landlord: * If you do not have a landlord, please type N/A.
Including yourself, how many adults live in your household? *
Name and Phone # of other adults in household NOT listed as applicant: *
Relationship of Adults in Household: *
# of (two-legged) children in household & their ages: *
Is anyone home during the day? *
If no, how many hours would the dog be left alone? *
Where would the dog be kept during the day? *
Where would the dog be kept at night? *
Where would the dog be kept when unsupervised? *
How will you provide for your dog if you need to go out of town? *
Do you plan on moving in the foreseeable future? *
If you do move, what will you do with your dog? *
Current Pet Information
Number of Current Dogs? *
Age/Breed/Gender of Dogs: *
Please describe the temperament and behavior of your current dogs. *
Number of other animals in household? *
Age/Breed/Gender of other animals in household? *
Are your current pets spayed/neutered/fixed? *
Are your current pets on flea/tick/heartworm preventative? *
Are your current pets up-to-date on their Rabies/DHPP and Bordatella vaccinations? *
Name of Current Veterinarian:
Current Veterinarian Phone Number (Including Area Code):
Previous Pet Information This refers to pets for which you have previously been responsible.
Type of Pet:
How long were the pet(s) in your care?
Where are the pet(s) now?
Have you ever had to give up a pet? If yes, please explain circumstances. *
Adoption Information
If you are applying for a specific dog, please name the dog: * If you are open to any of our dogs, please put "any".
Please check all the qualities you WANT in a dog: *	Active (Running Partner) Moderately Active (Daily Walks) Less Active (Mostly Couch Time) Independent Goofy Curious Affectionate Adventurous Dog Social (likes other dogs) Crate Trained Special Needs Senior Dog (7yrs or older) Adult (3yrs - 7yrs old) Young Adult (1yr - 3yrs old) Puppy (under 1yr old)
What kinds of activities are looking forward to doing with your new dog? *
Which of the following behaviors or characteristics present a problem for you? *	House-training Chewing Jumping on Furniture Basic Obedience Issues Reactivity Separation Anxiety None
How will you attempt to resolve those issues? * If you previously marked "none", please put N/A.
It may take your pet a month or more to adjust to a new home. Are you willing to allow this much time for adjustment? *
Have you previously worked with a rescue organization? If yes, which one?
How did you hear about Love-a-Bull? *	Facebook Instagram/Twitter Organization's Website Internet Search Event in Community Friend/Volunteer
LOVE-A-BULL, INC.
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Dog care in our area can cost $1200 annually. This includes: annual vet care, parasite testing, monthly heart worm & flea preventative, dog food, miscellaneous equipment, boarding/kennel fees, grooming and other supplies. This does NOT include any injuries, or illnesses the dog may incur.
I understand that any bodily injury or property damage incurred from a rescue is my responsibility, and that I will not hold Love-A-Bull or any of its members responsible or liable. I agree to indemnify and hold harmless Love-A-Bull, its agents, volunteers and Board members from any and all claims, lawsuits, injuries, or damages.
I understand that I am not allowed to give, sell or adopt out a dog in my care to anyone else without the written consent of Love-A-Bull’s Board of Directors. I understand that if I adopt this dog I will pay Love-A-Bull a non-refundable fee, which varies by dog, upon signing the adoption contract.
By signing below, I certify that the information provided on this application is true and I recognize that any misrepresentation of facts may result in losing adoption/foster privileges. I authorize investigation of all statements in this application and understand that veterinarians, landlords, and other humane agencies, etc. may be contacted. I further understand that the adoption of this pet may be delayed until this information can be verified.
I agree to these terms: *
Your signature indicates your agreement to be bound by these terms. Please sign below with a touch screen device if you agree: *

(OLD-DO NOT USE)Love-A-Bull, Inc. - Adoption Application Form

Applicant Information

Additional Information

Current Pet Information

Previous Pet Information

Adoption Information

LOVE-A-BULL, INC.

Please Read Carefully