Bella's Animal Rescue Adoption Application
Thank you for being interested in one of our pups! We are an independent rescue currently pursuing non-profit status to be able to help even more pups!
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Email *
Instagram Handle @: *
First Name *
Last Name *
Puppy/Dog name that you would like to adopt *
Your age *
Phone number *
Email Address *
Drivers License State *
Drivers License Number (Required by the state) *
Name, age, AND EMAIL of all adults in the household that will be living with the puppy/dog *
Street Address *
City *
State *
Postal Code/Zip Code *
Employer *
Do you currently own any pets? If yes, how many? Their breed and age? *
Have you owned any pets in the last 15 years? If yes, where are they now? *
Why do you want to adopt a dog ? *
What do you think are the main responsibilities in owning a dog? *
How will you house train the dog/puppy and how long will you try? *
Are you prepared for a puppy's chewing stages and sharp teeth? (They can break the skin sometimes) *
Are any of your family members allergic to animals? *
Are there any situations where you might return your adopted dog/puppy? If so, what are they? *
Are all the people living in your household comfortable with animals? *
Who will care for the dog/puppy if you are suddenly unable to? *
What steps have you taken/will you take to prepare for adopting a dog/puppy? *
Are you planning on training the dog/puppy? *
Name of veterinarian you will/are using *
How will you work on dealing with the puppy/dog's behavioral problems should they arise? *
Do you live in a house, an apartment, a condo, a duplex, or a townhouse? *
Do you own or rent your residence? *
Do you have a fenced yard? *
Are there coyotes in the area you live? *
Describe the daily exercise your dog/puppy would receive *
How many hours will the dog be left unattended a day (while you are working)? *
Where will the dog sleep? *
When you are not home (working, shopping, etc.), where will the dog be kept? *
What will you do with the dog/puppy when you travel? *
If you move, what will you do with the dog/puppy? *
Are you aware of the average cost per year of owning a dog/puppy? Are you able to provide for your dog in this manner? *
Are you aware of the non-refundable adoption fee ranging from $400 to $600 to cover the costs of the puppy/dog's vaccinations up to date of adoption, deworming, microchipping, general check-up, etc.? Please DO NOT fill out an adoption application unless you are willing to pay the adoption fee. We are an independent rescue, and we do not negotiate adoption fees. *
All of this information provided on this application is, to the best of your knowledge, true and complete. I understand that falsifying answers on the application will disqualify applicants from adopting (Initial here) *
Are you willing to send a video of your home where the dog/puppy will be staying? This includes the backyard, living room, and common areas. *
Bella's Animal Rescue places our adoptees in permanent and caring homes. The potential adopters must take responsibility of their dog/puppy and make accommodations to care for it. All future life changes must be considered before adopting. Some of our dogs have experienced neglect and abuse, and potential adopters must be willing to hire personal dog trainers if necessary. Medical emergencies may arise as well, and potential adopters must be equipped to handle them. Are you willing to do all this and devote the time necessary to owning a dog? *
If for some reason you are unable to continue providing a home for your puppy/dog, you must agree to contact Bella's Animal Rescue immediately and return the puppy/dog to us. Will you do this? *
Electronic Signature *
A copy of your responses will be emailed to the address you provided.
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