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Name:
Age of Applicant:
Occupation of Applicant:
Name of co-applicant:
Age of co-applicant:
Occupation of Co-Applicant:
Address:
City:
State and Zip Code:
Home Phone:
Cell Phone:
Email Address:
Names and ages of other household members:
Do children visit the home?:
If yes, how often do they visit and what are their ages?
Describe your home: House
Apartment
Condo/Townhome
Trailer
Do you have stairs in your home?
Please explain:
Is your yard fully fenced?
What is the height of the fence?
Do you have a swimming pool?
If yes, is it fully fenced?
Do you have a hot tub, or any ornamental ponds or areas of water?
If yes, please explain:
Do you own or rent your home?
If renting, what is your landlord's name and phone number?
Have you verified that your landlord will allow you to have a bulldog?
How long do you plan on living at this address? Less than a year
1-2 years
3-5 years
5-10 years
Forever
Do you plan on using a crate?
Are you applying for a certain dog?
If yes, who?
How many hours a day will the dog be left at home alone:
Where will the dog be kept during the day?
Where will the dog be kept in the evening?
Please list any other animals living in your home, their sex, breed and if they are spayed/neutered...
Please list current and previous Vet's names, clinic names, and phone numbers:
Anyone in the house allergic to dogs?
How will the dog be excersized?
Is everyone in the house in favor of adopting a bulldog?
What behaviors do you NOT want in a bulldog?
Describe your ideal bulldog:
Describe why you want to rescue a bulldog:
How much do you plan to spend a year on a bulldog, including food and vet care?
Have you ever been convicted of animal cruelty?
Explain in detail the research you have done on the breed, and any other info you would like us to know:
By entering your name in the box below, you agree that everything in this application is true to the best of your knowledge, and you are allowing us to contact your references and landlord.

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