Smoky Mountains Bulldog Rescue
ADOPTION APPLICATION

Thank you for your interest in adopting a rescue English Bulldog. The dogs available for adoption are screened for temperament and health. All dogs have been given their vaccinations, started on heartworm and flea preventative and have been spayed or neutered. In addition, we microchip every dog before it is adopted. Although, we cannot guarantee that there are no problems with the dogs in rescue, we have done our very best to assure that each dog adoption is a good candidate for a new family. We want our dogs and our adoption families to be happy with the placement.

The following application is very important to helping us make the perfect match between dog and new "parent". We reserve the right, at our sole discretion, to turn down an application. By signing at the bottom of the application, you give us permission to contact references, to visit your home for screening purposes before you accept the dog, to visit your home for a followup after adoption and to share our finding with other rescue people or groups. 

FEE. There will also be an Adoption Fee (usually about $300.00) required that only partially covers the medical and other costs involved in rescue.

Geographic Limitations: Smoky Mountains Bulldog Rescue performs rescues in the East Tennessee general area, (please see map below) which sometimes includes portions of nearby states and Middle Tennessee.
IF YOU LIVE OUTSIDE OF THIS AREA YOU SHOULD APPLY DIRECTLY TO THE BULLDOG CLUB OF AMERICA NATIONAL RESCUE PAGE AT: http://www.rescuebulldogs.org/

[Rescue

If you live in the general East Tennessee area,
Please fill out this application completely, and return it to:

Smoky Mountains Bulldog Rescue
Mari DeCuir
129 Evergreen Ln.
Knoxville, TN 37918


Name: ________________________________________________________

Address: _____________________________________________________

City, State & Zip: ___________________________________________

Phone Home__________________ Work ________________________ Cell _____________________________________

Email Address: ________________________________________________

Reference: ____________________________________________________ Phone #: __________________

Reference: ____________________________________________________ Phone #: __________________

1. How did you hear about Smoky Mountains Bulldog Rescue?




2. What are your preferences for a dog in regard to:

Sex:

Age:

Any other requests?:

3. What do you know about English Bulldogs?
(temperament, health, medical requirements, housing requirements, personality, etc.)



4. Why do you want to adopt this animal?
Please give all reasons that apply. (Companion, guard dog, gift, to breed, personal protection, for children, other)



5. How long have you lived at the above address?

6. Do you rent or own your current home?

7. If you rent, please provide us with your landlord's name and phone number:


8. How many adults live in the household?

9. Does anyone in the household smoke?

10. Do you have any children currently living at home or that visit on a regular basis?
If yes, what are their ages.

11. Have you ever had an English Bulldog?


12. If not, have you ever spent any time with an English Bulldog?
If so, describe circumstances.



13. Do you currently have any other animals? (circle) YES NO
If yes, please fill out the below chart; If additional room is needed, use back of page.

Type or Breed
Age
Sex
Are they
spayed/neutered?
If you have owned animals in the past, what happened to those animals?



14. Are your current pets current on their vaccinations?
If not, please explain why not (we will confirm with veterinarian).


15. Do you have a fenced yard?(circle) YES NO

If yes, what type of fencing do you have?

16. Where do you plan on keeping your English Bulldog?



17. How will you let your English Bulldog go to the bathroom?
(Fence, leash, let out, paper train, etc)



18. Where will your English Bulldog sleep at night?



19. What will you do with your English Bulldog when there is no one home?



20. We require that all animals adopted from us be spayed/neutered. Do you have any questions or reservations about this policy?
If yes, please explain.



21. Do you know about heartworm preventative and vaccinations?

22. What will you do if your Bulldog exhibits bad behavior? i.e. being destructive, soiling the house, barking



23. Are you willing to give this pet time to adapt to his new environment and family members (at least 30 days)?



24. Do you understand this animal may not be housebroken and are you willing to take the time to work with this animal?



25. Please provide the name, address and phone number for your veterinarian.



26. What are your preferences for your adopted dog? i.e. age, sex, color



27. Would you be interested in information about crate training? (circle)

YES NO
Why or Why Not?



PLEASE WRITE ANY ADDITIONAL COMMENTS BELOW:





By signing below, you are giving Smoky Mountains Bulldog Rescue permission to check with your vet and references. Please be aware that we may ask you to call your vet and give them verbal permission to share your records with us. In calling the vet, our sole purpose is to find out if current pets are up-to-date on vaccinations, heartworm preventative (where applicable) and if they are spayed/neutered. Your signature below also indicates your serious intent to adopt a Bulldog through Smoky Mountains Bulldog Rescue.

Name


Date



BACK TO S.M.B.C. HOMEPAGE BACK TO S.M.B.C. RESCUE

We're proud to be a part of

The Knoxville-Oak Ridge Regional Network!