EmailMe Form - Application to Adopt a Bull Terrier

Name

First Last

Age

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone

Mobile

Email

Dog applying for (if any)

Vet contact details
(if known)

Your family /
other residents
(please include ages)

Visiting children
(please state ages and how often they visit)

Any pets
(please include type, age and sex)

Work hours. Please also include how long the dog will be routinely left

Planned exercise routine for your dog. What daily routine will you have?

Please tell us a bit about yourself and your reasons for wanting one of these special dogs

What experience, if any, have you and your family had with Bull Terriers?

Will the dog have access to the whole of your house whilst you are there?

Where will your dog stay when you are out? Do you have facilities to keep your rescue dog separate to your existing pets?

Preferred sex

Preferred colour
(if any)

Preferred age
(if any)

Would you take on a dog with special needs? (i.e deafness, known medical condition, not house-trained) Do you have any relevant experience?

Any other relevant information you would like us to be aware of?