ADOPTION FORM

Please note, all fields indicated with a "*" are mandatory.
the form will not submit if you do not fill them.

drivers licence will be required along with rental agreement (if applicable) showing you are allowed animals.

Adopt a bully

* Indicates required field

Name of the dog you are enquiring about *

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Please tell us how long you owned your previous dog and what happened to it? *

Do you currently have any pets? Please give breed, size, sex and age. *

Why do you want to adopt a dog, eg companion for yourself /other pet / for children / watchdog? *

Have you ever taken an animal to a shelter or released it to another party? *

Yes No

Are there any circumstances where you might not be willing to adopt a dog? i.e. Behaviour problems. *

Do you own your home? If you are renting, please provide us with your landlord's written verification that a dog is permitted (attach a copy of landlord’s letter) *

Own/Mortgage Renting

Upload rental agreement/landlord's letter *

Max file size: 20MB

Would you be willing to allow a representative to make a home visit at a mutually agreed time? *

Yes No

What are the ages of the children that live in your home or regularly visit eg: grandchildren. *

Please specify if the children (including visitor's children) have lived with dogs before and what their experience was like. *

If you have a dog(s) , have they ever lived with another dog previously, explain how they coped *

Is your yard securely fenced? Describe type of fencing (wooden, colourbond, wire etc) and height at the lowest point. If you have a swimming pool is it separately fenced? *

Where will the new dog stay? Inside or Outside? If the dog is outside, what type of shelter will the dog have? *

How many dogs are you allowed by your Council? *

How many hours will the new dog be without human company for each day? *

Bull Terriers are a strong powerful breed and can be dominating. They require their master to be of a calm and assertive demeanour and to have patience, while rules, boundaries and routines are being established.

Under what circumstance would you give up your care for the dog, e.g. family illness, barking, digging, shedding, allergic to dog, destructive chewing, biting, growling, moving house, reactivity on lead, lack of housetraining, cost of food/care? *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Emergency Contact Email *

Emergency Contact Address *

Line 1

Line 2

City

State

Zip Code

Country

Vet Name *

First

Last

Vet Phone Number *

Vet Address *

Line 1

Line 2

City

State

Zip Code

Country

Is there anything else you would like to tell us about you, your family or your interest in adopting a bull terrier? The more information you provide, the better we will be able to determine suitability of a particular dog. *

Please attach a copy of your current Driver Licence FRONT & BACK or Passport for security purposes. Thank you.

Upload File *

Max file size: 20MB

Upload File *

Max file size: 20MB

Click here for Terms and Conditions

I have read and fully understand the Terms and Conditions of this agreement and agree that it is not arbitrary and that provisions herein, are common in pet adoption agreements. I further understand, that if I fail to comply with any of the Terms specified herein, Bull Terrier Rescue Australia Inc. has the right to reclaim the dog and to enforce this contract in a court of law. *

I have read the terms and conditions I have uploaded my signature confirming this application is true and correct and I agree to the terms and conditions.

Upload Signature *

Max file size: 20MB

By submitting this form, you are agreeing to the above Terms & Conditions.

Submit

Please note, all fields indicated with a "*" are mandatory.​the form will not submit if you do not fill them.drivers licence will be required along with rental agreement (if applicable) showing you are allowed animals.

Adopt a bully

Bull Terriers are a strong powerful breed and can be dominating. They require their master to be of a calm and assertive demeanour and to have patience, while rules, boundaries and routines are being established.

​Please attach a copy of your current Driver Licence FRONT & BACK or Passport for security purposes. Thank you.

Bull Terrier Rescue Australia Inc.

Please note, all fields indicated with a "*" are mandatory.
the form will not submit if you do not fill them.

drivers licence will be required along with rental agreement (if applicable) showing you are allowed animals.

Please attach a copy of your current Driver Licence FRONT & BACK or Passport for security purposes. Thank you.