Adoption Application

  

Below is our adoption application. If you are interested in adopting a rescue, please complete and submit the below application. By completing the application, you authorize Rescue to verify references and conduct a home check. By no means does completing this application mean you will be getting a dogue from Rescue.

We reserve the right to refuse or supply a service or dogue to anyone.

Please provide the following contact information:
Name:
Address:
City: State: Zip Code:
Home Phone:     Cell Phone:
Work Phone: Alternate Phone: Fax:
Email Address:
Web Address:

 

Names and relations of other adults in household:
  Name Relation
1.
2.
3.
4.

 

Please list children in household:
  Child's Name Age
1.
2.
3.
4.
5.

 

Please list Pets in household:
  Name

Sex

Spayed/Neutered

Age

Species

Breed
1.

M F

Y N

2. M F Y N
3. M F Y N
4. M F Y N

 

Environmental Questions:
Do you prefer a male or female? M F
Do you want a rescue or a foster? Rescue Foster
Do you understand and agree that all Rescues WILL be spayed/neutered? Y N
Do you agree to provide a home life for the dogue? (meaning the dogue will not live outside) Y N
Do you agree to provide obedience training for your new dogue? Y N
Do you agree that for any reason you can no longer keep your dogue, it will be returned to Rescue? Y N
Do you own or rent? Own Rent
Type of Housing?
How long have you been at your present address?
Do you have a fenced yard?

Y N

Type of fencing around your home?

Do you have a pool?

Y N

Is it fenced separately?

Y N

 

Please provide the names and info of three personal references:

Reference #1
Name:
Address:
City: State/Province: Zip Code:
Country:     Home Phone:     Alternate #:
Email Address:

Reference #2
Name:
Address:
City: State/Province: Zip Code:
Country:     Home Phone:     Alternate #:
Email Address:

Reference #3
Name:
Address:
City: State/Province: Zip Code:
Country:     Home Phone:     Alternate #:
Email Address:

 

Please provide the contact information for your veterinarian:
Name:
Address:
City: State: Zip Code:
Country:     Work Phone:     Fax:
Email Address:

 

General Information:
Why do you want a Dogue de Bordeaux?
How did you learn about the Dogue de Bordeaux?
Any other information that you feel is important in helping us determine the best match in a Dogue de Bordeaux for you and your family?

 

If you have learned about the Dogue de Bordeaux from books we strongly suggest that you let us know so we can put you in contact with someone in your area who can tell you about upcoming shows and put you in contact with local breeders.
I certify that the above information is true and I understand that prior to being approved for adoption or foster care in my home the above information will be verified. A home visit will be required. I also agree to a personal interview with a member of the Dogue de Bordeaux Rescue, if required, to determine the suitability of my home/facility to care for a canine.
Signed Signed
Signed Signed
Date
Everyone in the household must agree to this application, and must sign.