MABBR ADOPTION APPLICATION
Please answer all questions fully. Upon receiving your application an adoption specialist will be in touch with you within 72 hours.
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Date:
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Last Name:
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First Name:
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Street Address:
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City:
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State:
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Zip Code:
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Email Address:
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Phone Number:
Work Phone:
Occupation:
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Tell us your age:
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By checking YES you agree that the dog will not be used for any illegal activities nor found at any time in a municipality where the breed is illegal.
Yes
No
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By checking YES you agree that the dog is to be kept as a house pet. It shall not be used for medical or any other experimental purpose and it shall not be used for breeding.
Yes
No
Please provide the name of the dog(s) you are interested in adopting.
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Choice (1):
Choice (2):
Choice (3):
Do you prefer a male or female?:
Male
Female
Either
Do you prefer an adult or puppy?
Adult
Puppy
Either
Do you have a color or weight preference of your new pet?
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Describe your yard and fence:
Do you own or rent your home?
Homeowner
Renter
Choose the type of home that best describes your home:
House
Apartment
Townhouse
Duplex
Mobile Home
If you are renting, please provide Landlord's name and phone number:
Tell us in a few words what you know and how you feel about Breed Specific Legislation:
Do you have Breed Specific Legislation in your city? If so, please describe the restrictions or ordinance:
Tell us about the members in your household. List all household members including their age, sex and relationship to you.
(Example:. Mary, 12 years old, daughter)
What other pets do you currently own? Please be specific with age, sex, breed or type.
Tell us about the pets you have owned in the past:
Have you ever had to rehome a pet? If so, please explain the circumstances:
What traits would you find unacceptable in your new pet?
What steps would you take to correct unwanted behavior?
What circumstances would prevent you from keeping a dog for the rest of its life?
What will you do if you cannot keep your dog?
Are your current pets spayed or neutered?:
Yes
No
If your pets are not spayed/neutered please tell us why:
Where are your pets kept while you are at work or when you leave the house?
How many hours each day will your new pet be home alone?
Where will your pet be kept at night?
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Do you travel for business or vacation?
Yes
No
If yes, who will provide for your animal(s) while you are away?
What kind of activities do you or will you do with your pets for fun and/or exercise
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What restrictions would you place on your dog's interaction with children?
What restrictions would you place on a child's interactions with your dog?
Of all the breeds available why are you interested in the dog(s) you have listed?
Please describe any experience you have had with the breed of the dog you are interested in adopting:
Have you thought about and are you prepared to deal with the discrimination that may come from owning a bully breed of dog. ie, homeowners insurance, neighbor relations, community bias?
Please supply the name and phone number of your current veterinarian, employer, clergyman, or anyone NOT related to you who can attest to your character.
Veterinarian references are preferred:
Are you willing to travel to meet your new pet? If so, how far?
Please provide any additional information you would like us to know about your home, family, and why you are applying to adopt a dog from us:
Press submit only once. It may take a few moments for the application form to load. You will be redirected to a confirmation page when your application is submitted.
Thank you for your interest in a MABBR Incredi-Bull!
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Indicates Response Required