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The person or persons submitting this application will henceforth be known as the ADOPTER. The potential rescue Boston Terrier will be known henceforth as the
BOSTON
or the ADOPTED BOSTON. The Rescue Group or Rescue Person where this adoption application is submitted will be known henceforth as the BOSTON TERRIER RESCUE and the ADOPTER must take full responsibility to insure that arrangements are made with the BOSTON TERRIER RESCUE if a situation arises where the
BOSTON
can no longer be cared for by the ADOPTER as stated below.
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| Full Name: |
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| E-Mail Address: |
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| Street Address |
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| City, State, Zip |
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| Day Phone |
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| Evening Phone |
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| Best Time to Call |
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| How Long have you been at your present address? |
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| If renting, do you have approval to have a dog? |
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| Name & Phone # of Landlord: |
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| What type of dwelling: |
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| If you chose "Other", where do you live? |
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| If you move, what will you do with your adopted rescue? |
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| Occupation |
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| Where will you keep your pet during the day? |
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| Where will you keep your pet at night? |
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| Where will your pet be kept when no one is home? |
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| How long will your pet be left alone each day? |
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| How many adults live in your household? |
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| How many children? |
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| What are the childrens ages? |
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| Will there be children visiting? |
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| Who will be responsible for caring for this animal? |
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| Excercise and Elimination will be (check all that apply): |
| Pen or Run |
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| Lead |
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| Chain |
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| In a completely fenced in yard |
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| In a partially fenced yard |
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| With an Electric/Radio fenced yard |
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| Loose, yard not fenced in |
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| Indoors (with papers,etc) |
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| Do you have a Doggie Door? |
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| Do you have swiming pool? |
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| Does your pool have safety fence? |
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PLEASE LIST ALL THE PETS YOU CURRENTLY OWN OR HAVE OWNED IN THE PAST 5 YEARS. IF NONE, INCLUDE PETS OWNED DURING YOUR ADULT LIFE. IF YOU NEED MORE SPACES, PLEASE EMAIL US YOUR LIST.
THANK YOU! |
| 1. Type of Pet & Breed (cat, dog, etc..) |
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| Age of Pet |
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| Gender |
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| Where is this pet now? |
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| 2. Type of Pet & Breed (cat, dog, etc...) |
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| Age of Pet |
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| Gender |
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| 3. Type of Pet & Breed (cat, dog, etc...) |
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| Age of Pet |
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| Gender |
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| Have you ever had a pet lost or die at an early age or because of accident, please give details: |
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| Have you ever given up a pet? If yes, please explain: |
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| Have you ever had a Boston Terrier? |
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| If not, have you done research on Boston Terriers? |
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| How much do you expect to spend on this animal each year (include food, vet, care, boading, licensing, grooming, etc...)? |
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| Does the sex of the rescue matter? |
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| Desired age? |
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| Would you consider a dog more than 3 years old? |
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| Would you consider a dog more than 6 years old? |
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| Would you consider a dog more than 10 years old? |
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| Would you consider a dog who is not house broken? |
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| Would you consider a dog with Special Needs/Health Problems? |
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| Is size or appearance important?Type in yes or no (If yes, please explain); |
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| Do you agree to return the dog to Boston Terrier Rescue if you are unable to keep it for any reason? (Please type in your answer) |
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| Please give Name & Phone of your Veterinarian for a reference? |
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| Please list 2 other references we may contact regarding this adoption: |
| 1. Name & Relationship |
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| Phone # |
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| Best time to call: |
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| 2. Name & Relationship |
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| Best time to call: |
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| Phone # |
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Which Boston Terrier are you interested in? |
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Help us get to know you. (Tell us something about yourself.) |
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THE RECIPIENT BOSTON TERRIER RESCUE GROUP or PERSON RESERVES THE RIGHT TO REFUSE ANY APPLICATION. By filling, signing, and submitting I/We certify that all of the information on this application is true and complete. I/We understand that if selected as an adoptive home I/We will comply with the following conditions of the adoption:
1. ADOPTER shall keep ADOPTED BOSTON as an indoor pet and will provide BOSTON with identification at all times (i.e., collar tag, tattoo, or microchip). BOSTON will be kept under control at all times when off ADOPTER'S property. 2. ADOPTER shall provide adequate veterinary care for BOSTON, including annual vaccinations, rabies vaccinations as needed, and any other care recommended by BOSTON'S veterinarian. ADOPTER will take BOSTON to the veterinarian if ill. If ADOPTER is unable to do so, ADOPTER agrees to notify BOSTON TERRIER RESCUE contact. 3. ADOPTER agrees to notify BOSTON TERRIER RESCUE contact of any changes of address or telephone number of ADOPTER. 4. If BOSTON is lost or stolen, ADOPTER will immediately notify BOSTON TERRIER RESCUE contact. 5. ADOPTER shall return BOSTON to BOSTON TERRIER RESCUE if, under any circumstances, ADOPTER is no longer able to keep or provide for BOSTON. ADOPTER shall not sell, give or otherwise transfer or convey BOSTON to anyone other than
BOSTON TERRIER RESCUE. |
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ALL DOGS ARE VETTED, SPAYED/NEUTERED AND UP TO DATE ON ALL SHOTS. ADOPTION FEES ARE $150.00 to $500.00 |
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By checking this box AND filling out your name and date of application below, you and your household agrees to all the terms and conditions listed in the application and that all information provided is correct. Furthermore, we understand that any information not fill out may delay the process or even eliminate my application all together.
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| Full Name |
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| Date of Application |
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| For Office Use Only: |
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| Signature & Date of Boston Terrier Rescue Officer |
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