Ethical Bull Breed Rescue and Referral, Inc.

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Adoption Information

Please take time to fill out this application as honestly as possible. All applicable questions must be answered.

Full Name:
Email:
Address:
Home Phone:
Work Phone:

Dog you are interested in?

What rescue group is the dog listed with?

Personal Information

How many adults in the family?

How many children in the family?

Please name and give ages of all members of the residence. (Example: Jonny - Age 7)

1.
2.
3.
4.
5.
6.

Did the whole family decide on the same dog?

Do all members of the family feel its time for a new dog?

Are all family members ready to make a commitment to this dog?

Do you own or rent your home?

What type of housing do you live in? (Example: Apt, Row home, Single)

Do you have a yard?

What size yard?

Is the yard fenced?

Do you have any other pets?

Are they altered, if dog or cat?

Will you agree to have all current pets (dog,cat) altered prior to adopting a dog from us?

If no, please explain.

References

Please list three personal references.

Name:
Address:
Phone:
Relation:

Name:
Address:
Phone:
Relation:

Name:
Address:
Phone:
Relation:

Please list your veterinarian references.

Name of vet:
Clinic Name:
Address:
Phone:

Pets listed there and names listed under:
Pet 1:
Pet 2:
Pet 3:

Note: This is just a pre-application. This application will be forwarded to the appropriate rescue group and this original application will be kept on file at EBBRR, Inc. EBBRR can not approve your application if the dog is not in our care. Please remember that you will have to meet any additional requirements required by the rescue that has the dog you are interested in.

You must check this box to verify your application is complete. By checking this box you agree that all information is accurate.