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Where will you keep this dog?________________________________________
Where will you keep this dog when you travel?___________________________
Do all members of this household want this dog?_________________________
If you have young children, they need to be educated on how to interact with the dog in order
to prevent dog bites, are you able/willing to do that? ___Yes ___No
How long will you give this dog to adjust to its new home?______________
How many hours will your dog spend alone?_________________________
If you must give up this dog, what would you do with it?________________
Would you willing to participate in a follow-up home visit? Yes No Best day/time:
_________________________________________________________________
What amount of time will the dog be inside? ______outside?______
Do you have a fenced yard?_____ Yes _____No
If yes what kind of fence __ privacy __ chain link __ other
Do you have a shaded area?_____ Yes _____No
Do you realize that an outside dog may entertain itself by digging, chewing home items
and/or escaping and wandering?
___Yes ___No
What will you do if your dog shows destructive behavior? (Digging, chewing, jumping, tearing
up plants/furniture or running off)
_________________________________________________________________________
Do you realize that you will probably have to housetrain your new puppy/dog?
____Yes____No
How many times per day will you exercise it? 1 2 3
What form of exercise will you provide for your dog? _________________________
What form of training will you provide your dog?
__Obedience class __Follow training books __Professional training __Home training
Will you have your dog SPAYED OR NEUTERED? (A surgical operation to prevent
parenthood for animals) ____Yes ____No
o If no do you plan to breed your dog? ___ Yes ____No
If so about how many times? ________________
What type of balanced nutrition do you intend to provide for your dog?
Dog Food Brand:_________________ Dry or Wet
Will you have this dog vaccinated annually, by a veterinarian, against infectious
disease?__________ Veterinarian:_________________________
Are you familiar with heartworm disease? ______Yes ______No
Will you maintain your dog on heartworm preventative? _____Yes _____No
Do you realize that dogs often live longer than 10 years and are you willing to assume
responsibility for that long? ______Yes _____No
How will you keep the dog confined to your property? (Check all that apply)
___House____Kennel____Fence____Chain___Patio_____Garage___Leash____Other
I certify the above is true and that false information may result in nullifying this adoption.
Beastly Bulldogs has the right to refuse adoption to anyone. I understand that no animal
can be held for me.
Signature___________________________________Date___________________
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