First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Country

Email*

Home Phone

Work Phone
x

Cell Phone*

To qualify for adoption you must: * Be at least 21 years old. * Have a valid driver’s license or state ID card stating your current address. * Have the knowledge and consent of your landlord, if relevant. * Be willing and able to spend the time and money necessary to provide medical care, proper nourishment, proper housing and training of the adopted pet. *ALL ADOPTION FEES ARE NON-REFUNDABLE* PLEASE NOTE: We reserve the right to refuse adoption to anyone. Please be advised that we will not adopt to persons who mislead or fail to provide accurate information on this application. In order to adopt from our Rescue, you must agree to a home visit. DISCLAIMER: We are located in the Pensacola, Florida area and will consider local applicants first

Which dog(s) are you interested in adopting?*

Have you applied with any other rescue? *If yes, please list the name of the rescue.*

Why are you interested in adopting a pet at this time?*

Please state your Employer and Job Title*

How long have you been employed at your current job?*

What Type of Home do you live in? (single family, duplex, condo, mobile home, RV)*

Do you own or rent your home?*

How long have you lived at this address?*

Does your HOA/Landlord have any restrictions on pet (i.e. breed, size/weight, number of pets?)

If you rent, please enter your landlord's name and phone number*

If you rent, have you received the approval of your landlord to have an animal? Please provide the name and phone number of your landlord or property manager so we may verify your lease will allow you to adopt from us.

Is your yard fenced*
Choose one: Yes No

What type of fence*
Choose one: Chain Link Invisible Fence None Other Privacy Fence

Where will the animal be kept when you are at home?*

Where will the animal be kept when you are not home?*

How many hours will animal be left alone each day?*

Where will the animal sleep?*

Describe how you will train the pet*

Including yourself, how many people will live in the home with this pet? How many are adults? How many are children?*

Please provide names and ages of all members in your home.*

Are ALL members of your home aware of and in agreement with this adoption? Please respond with a Yes or No. If no, please list who and the nature of their objection. *

Do you currently have any pets in your home? If yes, please tell me about them - type of animal, age, etc.*

** PLEASE ANSWER ALL THESE ITEMS HONESTLY/COMPLETELY If you currently have pets, are they all spayed/neutered? Current on shots? Are your dog(s) on flea and/or heartworm prevention? I f so, please list the brand of heartworm/flea treatment and where you purchase it. If not, please explain why not. Please list the names/ages and type of pets currently in your home.*

What is an acceptable reason for rehoming a pet?*

We understand that life can be hectic and sometimes we have to make difficult decisions. Have you ever given up a pet? If yes, please explain why and what happened to pet (rehomed, shelter, euthanized). *

Please provide y our current Veterinarian's Name and Phone Number*

Are you financially prepared to provide medical care for this pet? This includes monthly heartworm preventive, flea/tick treatments, up-to-date on shots, quality pet food, as well as any unexpected emergency situations (illness, accident, injury)?

If you are no longer able to keep the animal adopted from us, do you agree to return this animal to Amazing Grace Bully Rescue?

It is common practice for Amazing Grace Bully Rescue to stay in contact with and perform follow up visits on our dogs. Please be advised that if you are not willing for us to schedule follow up visits, we have the right to refuse adoption.

I certify that the information entered on this application is accurate and true. Enter your name and date*

Thank you for your interest in adopting one of our amazing animals. Please be advised that we are all volunteers and will do our best to get back to you within 72 hours of receiving your application.