ABA On-Line Rescue Application Form

Application to Adopt a Dog

To help ensure the best possible placement of our rescued dogs, and in order to determine that the proposed adoption is in the best interest of both the dog, and you and your family, please complete each of the following. Please be thorough as possible. The American Bullmastiff Association Rescue Service reserves the right to refuse adoption to any applicant.

Today's Date
First Name
Last Name
Street Address
City State ZIP
Home Phone
FAX
Email address
Work Phone
Drivers License Number
Your occupation
Name of current employer
How long have been with this employer?

What is your spouses name?
What is your spouse's occupation?
What is your spouse's work phone number?

Others in Your Household
Name and Age

Have you ever owned pets before?
What Dogs or Cats do you currently own?

Species	Sex	Age	Spay/Neuter

If you haven't owned a dog before, why do you want one now?
Specifically, why do you want to adopt a Bullmastiff?
Have you ever owned a Bullmastiff before?
Describe how you have educated your self about the Bullmastiff Breed
Do you prefer a male, female or have no preference?
What age range of dog are you looking for?
What is your first color preference?
What is your second color preference?
Would you consider other Bullmastiffs?
Are you willing to pay to ship a dog?
How many miles are you willing to drive to pick up a dog?
Do you own or rent your home?
Does your landlord or home owners association give permission to keep a dog?
If so, can you provide us with proof of that permission?
How long have you lived at your current address?
Where will you keep the dog during the day time?
Where will you keep the dog at night?
How will you take care of the dog during overnight family absences?
Do you have a fenced yard?
If "yes", describe the type of fence
How tall is the fence?
If you do not have a fence...
... how will you exercise the dog?
... how will you confine the dog?
... how will you provide his need for elimination?
How many hours a day to you estimate the dog will be alone?
Where will the dog spend his time when alone?
Do you object to the discriminate use of a crate?
Do you have a crate?
Would you get a crate?
What will you do if your dog is destructive when alone?
Are you willing to attend obedience class with your dog?
Have you ever surrendered a pet of yours to an animal shelter?
Have you ever sold or given away one of your pets?
... if "yes", why?
Have you ever trained a dog before?
... if "yes" describe the training
Can you afford to spend at least (if not more) $500 per year for food and medical care for your pet?
Has anyone in your immediate family or household ever been convicted of a charge related to cruelty to animals or child abuse?
Are there any such charges pending now?
If "yes" to any of the above, please explain and give a disposition of the charge
Who is or will be your regular veterinarian?
.... their street address:
.... their city - state - zip - phone
References......
Name - Phone:
Name - Phone:
Who is you nearest living relative?
.... their street address
.... their city - state - zip - phone
What are the requirements for dog ownership in your community?
How many pets can you legally have?
Are dogs required to be vaccinated against rabies?
Is there a leash law?
What will you do with the dog if you have to move?
Is anyone in the house allergic to dogs?
How much time, per day, will you spend with your dog?
What specific dog food will you feed?
Additional Comments:

" I <insert your name> agree that I have answered the questions to the best of knowledge and have not knowingly submitted false or misleading replies. I understand that the American Bullmastiff Association reserves the right to refuse adoption to any applicant"

If you have any additional comments or questions please email the American Bullmastiff Association Rescue Service at blackslate@aol.com