Adoption Application
To help ensure the best possible placement of our rescued dogs, please complete each of the following entries. When responding, make sure to ANSWER EVERY QUESTION and be as thorough as possible. Incomplete submissions are automatically rejected by the application software program, which means that we will never see your response.

You should receive confirmation once you have successfully submitted an application. If you do not receive this notification, please review your application to be certain you have not overlooked any questions.

Full name
Your answer
Dates
MM
/
DD
Street Address
INCLUDE NUMBER AND ROAD
Your answer
City and state
Your answer
Zip code
Your answer
How long have you lived at your current address?
Your answer
Phone
Include cell, home, and/or fax
Your answer
Email address
Your answer
Drivers license state AND number
Your answer
Occupation
Your answer
Name of current employer
Your answer
How long have you been employed at this job?
Your answer
Work phone number
Your answer
Spouse or partner's full name
Your answer
List all members currently living in your household by (1) Name (2) Age (3) Relationship to you
Include anyone who lives at your residence at least 50% of the time
Your answer
Is anyone in the household allergic to dogs?
Do you own or rent your home?
If you rent, are you able to provide us with a letter from your landlord/HOA verifying that you are allowed to have giant breed dogs at your residence?
What are the requirements for dog ownership in your community?
Your answer
How many pets can you legally have?
Your answer
Is there a leash law?
Have you ever owned pets before?
List all pets you currently own
Include name, species, breed, age, and gender of pets
Your answer
NOT INCLUDING THE ANIMALS FROM THE PREVIOUS RESPONSE, please list all pets owned in the last 7 years. Include the name, sex, breed, age, year, and the reason they are no longer with you (deceased, given away, etc)
For example, "Goldie/male/goldfish/3 years old/2015 - died of natural causes"
Your answer
Are all of your current and past pets spayed or neutered?
If no, please explain
Your answer
Have you ever owned a giant breed dog?
Have you ever owned any of the following guardian breeds of dogs?
Required
Have any of your pets been around giant breed dogs before?
Your answer
How do you think your pets will adjust to a new dog?
Your answer
If you need to keep your new dog separated from your other pets during the transition period, where will you put the dog?
Your answer
If you have never owned pets before, why do you want a dog now?
Your answer
Specifically, what are your reasons for adopting a giant breed dog?
Your answer
How much time per day will you spend with your dog?
Your answer
How many hours per day do you estimate the dog will be alone?
Your answer
Where will the dog spend his time when alone?
Your answer
Where will you keep the dog during the day time?
Your answer
Where will you keep the dog at night?
Your answer
How will you take care of the dog during overnight family absences and vacations?
Your answer
What will you do with the dog if you have to move?
Your answer
How frequently do you have friends, family, or other guests over to your home?
Almost never
Every day
What is the average activity level in your household?
Very calm and quiet
Very busy, lots of noise
Have you ever adopted a pet from a rescue or shelter before?
Have you ever surrendered a pet to an animal shelter?
If yes, why?
Your answer
Have you ever sold or given away one of your pets?
If yes, why?
Your answer
Has anyone in your immediate family or household ever been charged with cruelty to animals, child abuse, or any other violent crime?
If yes, please explain.
Your answer
What kind of fence does your yard have?
How high is your fence at its lowest point?
If you do not have a fence, please check the "other" box and describe how you will exercise the dog.
If you do not have a fence, please check the "other" box and describe how will you confine the dog.
If you do not have a fence, please check the "other" box and describe how will you provide for the dog's need to use the bathroom?
When out for a walk, what type of collar/harness and leash do you intend to use?
Your answer
What will you do if your dog is destructive when left alone?
Your answer
Do you own a crate?
Do you object to the use of a crate?
Would you be willing to purchase and use a crate?
Are you willing to attend obedience class with your dog?
Have you ever trained a dog before?
If yes, please describe the training.
Your answer
Are you specifically interested in any particular dog(s)?
If yes, which one(s)?
Your answer
If no, do you have a preference with regards to the dog's gender?
Do you have a preference with regards to the dog's age?
Do you have a preference with regards to the dog's color?
How willing are you to consider other dogs?
Not at all willing
Very much willing
Please indicate how important each of these factors are to you with regards to your new pet
Not at all important
Slightly important
Somewhat important
Very important
Most important
Sex
Age
Gets along with my existing pets
Good with children
Good in new/social situations
Energy level
Housebroken
Heartworm negative
Crate trained
Good on a leash
How many miles or hours are you willing to drive to pick up a dog?
Your answer
If necessary, are you willing to pay for a professional ground transport for your dog?
Can you afford to pay AT LEAST $200.00 for the adoption fee?
Can you afford to spend AT LEAST $750.00 per year for food and medical care for your pet?
If we do not currently have a dog in our program that would be a perfect fit for your household, would you be willing to foster a rescue dog in the meantime?
What specific kind of dog food will you feed?
Include the brand and formulation. For example, "Taste of the Wild: wetlands formula"
Your answer
Do you currently have a veterinarian
If yes, how long have you been using this veterinarian?
Your answer
If applicable, please provide contact information for your current primary vet.
Include the name of the veterinarian and the clinic, as well as the address and phone number
Your answer
Which of your pets have been treated by this veterinarian?
Include names of pets and approximate dates of treatment
Your answer
If applicable, you MUST provide contact information for the veterinarian(s) that saw any of the pets you have owned in the last 7 years.
Include the name, address, and phone number of the veterinarian/clinic, and the names of pets and approximate dates of treatment
Your answer
If you do not currently have a primary vet, please provide contact information for the veterinarian you intend to use.
Include the name of the veterinarian and the clinic, as well as the address and phone number
Your answer
How did you select this vet?
Your answer
Provide two references (NOT related to you) that can speak to the quality of your current or prospective pet ownership practices.
For each reference, include name, relationship to you, phone number(s), and email addresses
Your answer
Who is your nearest relative?
Include their name, address, and phone number
Your answer
Additional comments:
Your answer
"By typing my name below, I agree that I have answered the questions to the best of my knowledge and have not knowingly submitted false or misleading responses. I understand that The Bullpen Way Station & Sanctuary, Ltd. reserves the right to refuse adoption to any applicant."
Please e-sign using your full name
Your answer
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