Hello Bully Adoption Application

Name (required) *
Name (required)
Address
Address
Home Phone
Home Phone
Mobile Phone
Mobile Phone
Work Phone
Work Phone
Do You:
Landlord's phone
Landlord's phone
If you have children, do they have experience with dogs?
Date of Birth
Date of Birth
Does anyone in your household have allergies or asthma?
Does anyone in your household have any physical limitations that would prevent them from caring for an active dog?
Have you ever owned a Pit Bull before?
Does the county or city where you live have any Breed Specific Legislation?
For each pet, please include the following information: breed, age, length of ownership, how ownership ended. If the animal passed away, please include the cause of passing. If the animal was rehomed, please provide details
Please tell us what the dog's purpose in your life will be:
(Check all that apply)
Where will the dog spend most of his/her time?
What outdoor areas will your dog have access to?
(Check all that apply)
Where will the dog spend his/her time when home alone?
Do you plan on taking your adopted Pit Bull to an obedience or training class?
Please tell us what your expectations are of the dog's behavior?
(Check all that apply)
If behavior problems arise, are you willing to work with a trainer or behavior professional?
(Hello Bully offers free consultations and free or low-cost training assistance.)
Under what circumstances would you decide not to keep your new dog?
(Check all that apply)
(Please include contact information. IF POSSIBLE, please include at least one Veterinarian.)
By checking yes, I understand that Hello Bully and/or the current caretaker reserve the right to refuse adoption at their discretion.
By checking yes, I agree that the dog will be kept as a companion house pet. The dog will not be used in any medical experimentation or illegal activities.
By checking yes, I understand that some insurance companies may deny or discontinue coverage based on the breed of dog I own. I agree to check with my insurance company prior to adopting a Pit Bull.
By checking yes, I understand that Hello Bully and/or the current caretaker will contact the references I have provided. They may also conduct a home or property check and a criminal background check at their discretion.
By checking yes, I agree that I have never been convicted of a crime involving the neglect, abuse or other illegal activity relating to an animal.
By checking yes, I absolve Hello Bully and the current caretaker from any and all liability relating to or resulting from the ownership of a dog adopted from them. Upon adoption, I agree to assume full responsibility for the dog's actions, including any and all damages done by the dog.
By signing below, I agree that the information I have provided in this application is true and I agree to abide by all the conditions listed above. *
By signing below, I agree that the information I have provided in this application is true and I agree to abide by all the conditions listed above.
Today's Date *
Today's Date