Dogue De Bordeaux Adoption Application Form

Full Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone:*

Cell Phone

Other

Email*

Below is our adoption application. If you are interested in adopting a rescue, please complete and submit the below application. By completing the application, you authorize Rescue to verify references and conduct a home check. By no means does completing this application mean you will be getting a dogue from Rescue.

We reserve the right to refuse or supply a service or dogue to anyone.

Names and relations of other adults in household:

Name	Relation

Please list children in household:

Name	Age

Please list pets in household:

Name	Gender	Spayed / Neutered?	Age	Species	Breed

Environmental Questions:

Which dogue(s) are you interested in?

Do you prefer a male or female?

Male
Female

Do you want a rescue or a foster?

Rescue
Foster

Do you understand and agree that all Rescues WILL be spayed/neutered?

Yes
No

Do you agree to provide a home life for the dogue? (meaning the dogue will not live outside)?

Yes
No

Do you agree to provide obedience training for your new dogue?

Yes
No

Do you agree that for any reason you can no longer keep your dogue, it will be returned to Rescue?

Yes
No

Do you own or rent?

Own
Rent

Type of Housing?

How long have you been at your present address?

Do you have a fenced yard?

Yes
No

If yes, what type of fencing do you have?

Do you have a pool?

Yes
No

If yes, is it fenced separately?

Please provide the names and info of three personal references:

Reference 1

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Other

Email

Reference 2

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Other

Email

Reference 3

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Other

Email

Please provide the contact information for you veterinarian:

Company Name:

Veterinarian's name:

Address

Street Address City State ZIP Code

Phone

Fax

Email

General Information:

Why do you want a Dogue de Bordeaux?

How did you learn about the Dogue de Bordeaux?

Any other information that you feel is important in helping us determine the best match in a Dogue de Bordeaux for you and your family?

If you have learned about the Dogue de Bordeaux from books we strongly suggest that you let us know so we can put you in contact with someone in your area who can tell you about upcoming events and put you in contact with local ddb enthusiasts.

I certify that the above information is true and I understand that prior to being approved for foster care in my home the above information will be verified. A home visit will be required. I also agree to a personal interview with a member of the Dogue de Bordeaux Rescue Inc., if required, to determine the suitability of my home/facility to care for a canine.

*

Signed:	Date:

To digitally sign this document, please type in your first and last name in the space provided.

Everyone in the household must agree to this application and must sign.