Adoption Application

Bichons and Buddies wants to adopt Bichons, Bichon mixes and their canine buddies to a person or family that is/are willing to provide loving forever homes in which the dog’s health and well-being are taken care of responsibly.

We believe that adopting a dog is a commitment to the lifetime of your companion animal. We appreciate your willingness to complete this form so that we can learn more about you, your family and home environment. Because we take pet guardianship very seriously, we will carefully check your references. As a result, we hope that we will be able to place one of our dogs with you. Not every person who applies and desires to adopt a dog, however, will be qualified.

One of the biggest differences between our organization and others is that we do a "Foster-to-Adopt" period. This means you can take a dog home and see how they fit into your life. Usually the period is a week. If you decide they're a keeper then we complete the adoption process and transfer all the paperwork to you. If it's not a good fit we just take them back. The adoption fee is $425 for young and adult dogs and $300 for seniors This amount only partially covers the cost of veterinary care (which includes altering, teeth cleaning if necessary and bloodwork), boarding fees, grooming and other miscellaneous expenses involved in the temporary care and adoption of our dogs. All our dogs are spayed/neutered, have all their shots, are microchipped, and freshly groomed. They come with a leash, collar and harness and we transfer all the paperwork to you including the microchip registration information.

Thank You!

Contact Information

First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
-

Country

Email*

Home Phone*

Cell Phone*

*=required

Names and AGES of all people living in your home and their relationship to you. If you have children please list ages. If children visit you regularly please list the ages.*

Your Home

Type of dwelling you live in*

House	Condo
Apartment

Do you own your home?

Yes

If you rent, please include the name and address of your landlord

Do you have a fenced in yard?*

Yes

If no, please explain how you will handle toilet duties and excercise*

Do you have a pool?*

Yes

Your Pet

I agree that this animal is being adopted as a family pet, and will be given extensive house privileges; i.e. to sleep inside the house, to be allowed freedom of the house when the family is home, and NOT to be restricted to the yard*

Yes

Do you currently own another dog or pet?*

Yes

If so, please list names, breeds, and ages*

Is your pet spayed or neutered?*

Yes

If you do not currently have a dog, have you owned one in the past?*

Yes

If your pet became ill, gets injured, needs surgery, needs ongoing medical care, etc., what amount are you willing to spend on veterinary/medical care?*

Please provide the contact information for your vet if you have one

Vet's Name

Address

Phone

If you do not currently have a veterinarian, please provide the names and contact information for two personal references (outside of family members.)*

Do you give us permission to contact your vet?*

Yes

Your New Dog

What is the name or type of dog you are looking to adopt?*

Do you have a gender preference?*

What age Dog would you like to adopt?*

Does everyone in your family want this dog?*

Yes

Who will be responsible for this dog?*

Will the pet be left alone for long periods of time?*

Yes

On average, how many hours a day will the dog be left alone?*

If the pet will be left alone for long periods of time, where do you plan to keep the dog while you are gone?*

Where will the dog sleep?*

Are you willing to accept the responsibility of housebreaking a dog if it is not already completely housebroken?*

Are you prepared to ensure that this dog receives regular veterinary care?*

Yes

Are you aware that Bichons and Poodles and mixes of those breeds require regular grooming for hair, ear, eye and nail care?*

Yes

Why do you want a rescued pet and how are you prepared to meet its special needs?*

Under what circumstances would you not keep the dog?*

I acknowledge and agree that Bichons and Buddies is not responsible or liable for any injury, damage, or harm caused by this pet.*

Yes

If I can no longer keep the animal, I will notify Bichons and Buddies IMMEDIATELY and work with them to place the animal in an approved home.*

Yes

I agree that Bichons and Buddies may make a visit, at a mutually convenient time, to ascertain that all the above conditions have been satisfied.*

Yes

I understand that to the best of B&B’s knowledge the animal is in generally good health. *

Yes

This Agreement is intended to be a complete statement and contains all of the understandings between me and B&B and that this agreement may not be modified except in writing and signed by both parties.*

Yes

I am at least twenty-one (21) years of age and wanting to adopt a dog. I understand, that the dog I am fostering or adopting, MUST be a INDOOR pet. This dog will be an inside dog and will not be left unattended outside. I further understand, if for ANY reason, that this adoption does NOT work out, I will return the dog to Bichons and Buddies.*

Yes

How did you hear about us*

*=required

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