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

Adopter's Information

Name(Required)

First Last

Phone(Required)

Phone type(Required)

Cell

Home

Work

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Is there a Co-adopter?(Required)

Yes

Co-adopter's information

Name(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

Current Pet Information

Please list them below(Required)

Are your current pets altered?(Required)

Yes

Will be within next 30 days, appointment has been scheduled with vet. (We will call you to verify)

Please explain why(Required)

Vet Information

Do you have a current Veterinarian?(Required)

Yes

No, I will locate one

Vet name(Required)

First Last

Vet Phone(Required)

Personal References

Personal Reference 1

Name

First Last

Phone

Personal Reference 2

Name

First Last

Phone

When 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

Does anyone in your home fear dogs?(Required)

Yes

Are you familiar with dog regulations in your area?(Required)

Yes

Please contact your town/county/condo association and ask them what the regulations are.

What breed experience do you have? Please explain(Required)

Home Information

I/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.com

Household Information

Approximate 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)

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

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

Yes, adults have discussed it, but kids don't know yet

Dog of Interest

Based 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

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)

Please check all that apply. My adopted dog will….(Check all that apply)(Required)

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)

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

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)

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)

Applicant's Signature(Required)

Co-Applicant's Signature(Required)

(if applicable)

Non-Refundable Application Fee(Required)

Price:

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Adoption Application