Adoption Application *PLEASE NOTE THAT YOUR INFORMATION WILL NOT BE SHARED WITH ANYONE OUTSIDE OF MARGARET'S SAVING GRACE BULLY RESCUE NOR WILL IT BE SHARED PUBLICLY. * The only way we can give animals a second chance is with the help of people like you. Who wants to bring a rescued pet into their homes to love, care for and protect. Please complete the following form. Please provide detailed information for all questions and answer them with 100% honesty. TO BE CONSIDERED AS AN ADOPTER FOR OUR ORGANIZATION: Be at least 21 years old and have a valid driver's license, passport, or state Identification Card stating your current address. Have all animals up to date on vaccinations and spayed or neutered. We will call your vet or ask for records. Own your home or be able to provide proof of approval by the landlord/property owner. Supply video/pictures of rooms of the home where the dog will be allowed. If deemed necessary allow a home check by one of our volunteers. Adoption Fee $300 (covers full vetting and care of the dog). You will also receive an adoption bag. If adopting a puppy there is a $100 non-refundable deposit to hold a particular puppy you have been approved for. Once you pick up your puppy at the meet and greet you will pay the remaining balance of the adoption fee. If MSGBR is pulling a dog out of state for you to adopt we request full payment prior to transport. Submitting this application does not mean you are committing to a dog, nor does it guarantee you will get that dog. It is simply a tool we use to help identify a good potential match for your family and lifestyle. If you agree to the above, please continue to the form below. Failure to complete the form fully will result in a denied application. Thank You, for choosing to save a life by adopting.Name of the dog you'd like to adopt(Required) Are you interested in another dog/puppy if this one is not available?(Required) Yes No Adopter's InformationName(Required) First Last Phone(Required)Phone type(Required) Cell Home Work Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is there a Co-adopter?(Required) Yes No Co-adopter's informationName(Required) First Last Phone(Required)Email(Required) Names and ages of all permanent residents of your home (adults/children)(Required)Do you currently have any pets?(Required) Yes No Current Pet InformationPlease list them below(Required)Are your current pets altered?(Required) Yes No Will be within next 30 days, appointment has been scheduled with vet. (We will call you to verify) Please explain why(Required)Vet InformationDo you have a current Veterinarian?(Required) Yes No, I will locate one Vet name(Required) First Last Vet Phone(Required)Personal ReferencesPersonal Reference 1Name First Last PhonePersonal Reference 2Name First Last PhoneWhen will you be ready to adopt?(Required) Today This weekend Within a week Within a month Not ready yet, just researching Are you in contact with any other rescues or shelters about a specific dog?(Required) Yes, application is pending Yes, just an email inquiry, no app yet No, but I am looking at several dogs online No, I am only interested in this particular dog Is anyone in your home allergic to dogs?(Required) Yes No Does anyone in your home fear dogs?(Required) Yes No Are you familiar with dog regulations in your area?(Required) Yes No Please contact your town/county/condo association and ask them what the regulations are.What breed experience do you have? Please explain(Required)Home InformationI/We live in a(Required) Single family home Duplex/Twin Condo/Townhouse Trailer Apartment Do you rent or own?(Required) Rent Own Please provide landlord or rental agency contact information(Required)Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?(Required) Yes No, but we will It's written in our lease/rental agreement If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. Please email to: msgbrapp@gmail.comHousehold InformationApproximate square footage of your home(Required) Less than 800sqft 800-1000sqft 1000-1500sqft 1500-2000sqft Over 2000sqft Do you have a yard?(Required) Yes, yard with a vertical fence Yes, fenced with invisible fencing Yard without a fence No yard (apt/townhome/condo) What is your fence height?(Required) 2ft 3ft 4ft 5ft 6ft or higher What is your annual household income?(Required) Under $20,000/yr $20,000--$30,000/yr $30,000-50,000/yr $50,000-$70,000/yr $70,001 or higher Do you work outside the home?(Required) Yes No One applicant is home/works from home We work different shifts How many hours a day are you away?(Required) Have you discussed this adoption with all members of your household?(Required) Yes No Yes, adults have discussed it, but kids don't know yet Dog of InterestBased on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?(Required) Yes No Not sure Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.(Required)Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)(Required)How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc.)?(Required) What activity/energy level do you prefer?(Required) Wild and crazy is cool Leash trained daily jogging partner would be excellent Medium energy, plays a bit then hangs out with you Low energy, walks slowly on leash, a total couch potato Other Please check all that apply. I want to adopt this dog...* (Check all that apply)(Required) As a family pet To breed with my dog To train/use for hunting To train/use for agility To train/use as a therapy dog To train/use as an assistance dog for the disabled To use as a guard dog For a jogging/hiking partner To interact with lots of friends/family To interact with lots of friends/family As a companion for my dog(s) As a companion for my cat(s) As a companion for my child/children Please check all that apply. My adopted dog will….(Check all that apply)(Required) Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be taken to formal obedience classes Be trained by me/us Take frequent car rides with us Be kept on a lead line/cable in the yard Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be housebroken prior to adoption Will be housetrained by us Will be walked more than one mile per day every day Will be walked occasionally Be attending formal group obedience classes with us Be trained by us without the advice of a trainer Have private sessions with a trainer as needed Be attending agility classes Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it Be going camping with us Be going on boat trips with us Be outside with a dog house in a fenced area Be outside chained/tethered to a dog house Be free roaming on the farm (unfenced) Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?* (Check all that apply)(Required) Housebreaking Chewing Jumping Pulling on leash during walks Counter surfing Obedience training Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Whining/crying Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Taking classes with the dog Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm preventative Annual heartworm/lyme combo testing I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs What would cause you to return a dog?(Required)What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?(Required) How do you plan to integrate this dog into your family?(Required)What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?(Required)Do you plan to get pet health insurance?(Required) Yes No I wasn't aware it was available, but will look into it What brand of dog food do you plan to feed?(Required) Grooming (please check all that apply)(Required) We use a professional groomer We trim dog nails ourselves at home We bathe our dogs at home once a week We bathe our dogs at home once a month We bathe our dogs at home once every few months or whenever their coat feels dirty We bathe our dog twice a year We don't bathe our dog We check ears weekly for infection/yeast/mites We check coat daily for ticks in spring/summer/fall We clean teeth using home methods We take our dogs to the vet for dentals whenever the vet recommends this is needed Prefer a dog that doesn't shed Don't care about shedding How long have you been looking for a dog?(Required) Do you plan to take formal obedience classes?(Required) Do you have any additional comments, questions, or concerns? Anything else you would like us to know to help match you up to a dog?(Required)I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help MSGBR determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect. I agree to allow a representative from MSGBR to contact my vet for a reference and also agree to sending in pictures of the inside and outside of my home. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee. I/we as the adopter, agree that I will keep and care for this dog in a safe and humane manner, and as a family pet and companion. The dog will have appropriate food, water, shelter, and medical care for the duration of its life. The dog will never be chained outside. If the dog is to pass you are to provide proof of passing to the rescue. You as the adopter are to provide proof of vaccines to the rescue upon taking your new pet home. Such as completion of the puppy’s series of vaccines and proof of spay/neuter if your adopted pet isn’t already spayed/neutered. I agree to abide by all state and local animal control and leash laws. I understand it is my responsibility to become familiar with these laws and to license the dog according to all regulations. I shall inform Margaret's Saving Grace Bully Rescue if I am no longer able to care for this dog and allow 14 days’ time for the prior owner (MSGBR) to exercise their retained Right of First Refusal and to reclaim the dog. Notice must be in written communication and if I re-home without the express written consent to do so, I shall pay Margaret's Saving Grace Bully Rescue a “fine” of $5000.00. I understand that the rescue makes no guarantees or warranties regarding the health or temperament of this dog. I agree to be fully and solely responsible for this animal, and for any damages that may result from its actions. Margret's Saving Grace Bully Rescue, its heirs, or representatives, shall not be held liable for the behavior of this dog or any damages it may cause. I understand that Margaret's Saving Grace Bully Rescue has attempted to provide the most accurate and up to date information for the dog. If the dog is unaltered at the time of adoption, adopter agrees to have dog altered within 90 days of adoption or after dog reaches 6 months of age by signing the separate spay/neuter contract. Certain breeds may require alteration at an older age due to growth plate maturity. We agree to accept recommendation of adopter’s vet if it is in written communication on vet’s letterhead and signed by authorized representative. I/We, understand and agree to the following terms and conditions of this contract to adopt the dog, further described within this document. I/we understand that non-compliance with the terms of this agreement gives Margaret's Saving Grace Bully Rescue (MSGBR) the right to reclaim this dog. In the event the adopter can no longer keep or provide for the dog, without refund of the adoption fee or other compensation. The contract shall remain in effect for the life of the dog, or until the return of the dog to Owner. If the dog is to pass, the adopter is to provide proof of the dog's passing from a vet.Date(Required) MM slash DD slash YYYY Applicant's Signature(Required)Co-Applicant's Signature(Required)(if applicable)Non-Refundable Application Fee(Required) Price: CAPTCHA