EmailMeForm
Bonnie Blue Rescue Adoption Application
Thank you for your interest in adopting a rescued pup. Please fill out the below form and hit "send form" when completed. We will respond to your application as quickly as possible. We look forward to working with you to find the pup that is the best fit for your family!
First Name:
Last Name:
Email:
Alternate Email:
Address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
How long at current address?
Home Phone:
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Cell Phone:
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Age:
Where are you employed?
How many adults are in your household:
Occupations of all adults in the home:
How many children are in your home:
What are their ages:
What type of area do you live in:
City
Suburb
Rural
In what type of home do you reside:
Apartment/Condo
Duplex
House
Do you rent or own your home:
Rent
Own
Other
If you rent or lease, do you have permission from your landlord to have a pet in your rental home:
Landlord's name:
Landlord's phone number:
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Which BBR dog(s) are you most interested in (please list in order of preference):
Are all members of your family in agreement about adopting a rescued dog:
What animals do you currently own (include their names, breeds, ages):
What animals have you previously owned (include their names, breeds, ages, & what happened to them):
Are your animals spayed/neutered:
Yes
No
Do you use heartworm preventative:
Yes
No
Other
If yes, what brand of heartworm preventative do you use & how often is it given:
Do you use flea/tick preventative:
Yes
No
Other
If yes, what brand of flea/tick preventative do you use & how often is it given:
Do you have a fenced yard:
Yes
No
If yes, what is the height and construction of the fence:
If you do not have a fence, where and how will the dog be exercised and allowed to eliminate:
What are your plans and goals for this dog:
Have you ever trained a dog in obedience class:
Yes
No
Will you take your dog to obedience class:
Yes
No
Not sure yet/depends on the dog
Will the dog live in the home:
Yes
No
Other
Where EXACTLY will the dog sleep at night:
Where EXACTLY will the dog stay during the day if no one is at home:
How many hours a day will the dog be left alone:
Do you believe in dog crates:
Yes
No
Not sure yet
How do you plan to discipline your dog:
Does anyone in your family currently have allergies:
What are the major activities, hobbies, or exercises you or your family participate in:
When you go on vacation, where will your dog go/who will care for your dog:
If you move, what will you do with your dog:
Veterinarian Clinic you currently use or have used most recently:
Veterinarian's phone number:
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Veterinarian's address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Are you willing to allow a representative to do a home visit:
Yes
No
Not sure yet
Please provide the name of an individual who can serve as a personal reference for you:
1st Personal reference email:
1st Personal Reference Phone number:
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Name of 2nd personal reference.
2nd Personal Reference Email
2nd Personal Reference phone number
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Which of these things would cause you to turn your dog back over to rescue:
Aggression towards other dogs
Aggression towards cats
High prey drive
Aggression towards children
Aggression towards adults
Moving to a new home
Job change
Losing your job
Allergies
Is there anything else that we should know about you and your desire to adopt a rescued dog:
How did you hear about Bonnie Blue Rescue:
Website
Blog
Petfinder
Adopt-A-Peg
Word of mouth
Past adopter
Veterinarian
Trainer/Behaviorist
Sheer luck