Adoption Application

INFORMATION FOR THE APPLICANT

If you are interested in adopting one of our dogs, please understand that unless the circumstances are unusual or extreme, you will need to make arrangements to pick up the adopted dog.

To be considered for adoption, please fill out and submit an Adoption Application Form (below) BEFORE contacting us directly via email.

ALL potential adopter homes are screened for suitable placements of dogs. The BTRA may refuse placement of a dog for any reason. By submitting this application, you give permission for BTRA and its affiliates to investigate and confirm all information that you have provided. All forms become the property of BTRA upon submission.


MINIMUM REQUIREMENTS/QUALIFICATIONS TO ADOPT.
IT IS MANDATORY THAT YOU READ AND UNDERSTAND THIS.

You must be 21 years of age or older, or have the written consent of a parent or legal guardian.

You must have identification showing your current address and one form of picture I.D.

You must have the consent of ALL adults living in the household.

If renting, you must have your landlord's written consent and pay a pet deposit if one is required.

Your existing pets must have current vaccinations and be free from contagious illnesses. Veterinary records are extremely helpful. If our dog to be adopted states “ONLY PET,” there may not be any other pets in your household until this adopted dog is no longer there, either by death of the dog or returning the dog to BTRA.

If this dog is stated to be “NO CHILDREN,” this means exactly that. There may be no children in your home; or if you have visiting children, this dog MUST be kept totally separate from the children. This requirement is for the safety and well being of both the and the children. If you have specific questions around this stipulation, then ask us.

You must be willing and able to spend the time necessary to provide training, medical treatment, proper care, and companionship for the dog.

At no time or for any reason is the Boston terrier/French bulldog to subjected to the use of any type of choke collar.

All animals in your home must be spayed/neutered unless there are extraordinary reasons otherwise. It is your obligation to discuss this issue with us, and we will make the final decision.

A component of our Adoption Contract requires that you maintain contact with us, provide us with information on the dog's health or general condition if there is a change, and are prepared to relinquish and return the dog to BTRA if you are unable or unwilling to further care for the dog personally. You may NOT sell, give, or in any way, transfer ownership of the dog to another party without the expressed consent of BTRA.

Dog Rescue is a money-losing proposition; and without donations, we would already be broke. Part of this understanding is that you are responsible for picking up, or otherwise making arrangements to pick up, your Boston terrier/French bulldog. Please do not ask our foster parents, volunteers, or coordinators to bring your Boston terrier/French bulldog to you. They are already giving greatly of their time and money.

We strongly recommend that you read over Frequently Asked Questions to acquaint yourself with our expectations from and requirements of you on behalf of the Boston terrier/French bulldog. There are very few Bostons (or other small breed dogs) that are suitable for small children. The vast majority are NOT suitable, and we do NOT recommend a Boston terrier/French bulldog for children under the age of 8-10, as a minimum, unless the circumstances are unique.

ADDITIONAL NOTES

There is always a minimum adoption fee in each case which helps to offset veterinary costs for the Boston terrier/French bulldog you wish to adopt and allows us to continue to help other Boston terriers/French bulldogs and other dogs in need. You may add a donation if you would like to help other Boston terriers/French bulldogs who are too old, too sick, or otherwise "unadoptable."

All Boston terriers/French bulldogs receive any necessary medical treatment, are up to date on their shots (based on age), and are spayed or neutered prior to adoption if they are medically fit for altering. Some have pre-existing conditions, and we will tell you about these to see if you are up to taking on a Special Needs Boston terrier/French bulldog or one who is recovering from an ailment.

Other than the adoption application processing fee, BTRA does not charge a pre-adoption fee or accept a deposit. We take you at your word that you are serious and are not wasting our time. We are all volunteers, and no one receives anything other than the satisfaction of helping our Boston terriers/French bulldogs find good homes.

All Boston terriers/French bulldogs listed on our site and on courtesy postings are to the best of our knowledge the breed or breeds described. We rescue dogs in danger from shelters, and always the breed determination is made initially by the shelter or previous owner or other source such as a veterinary office. If we describe a dog as a "Boston terrier/French bulldog" (or other breed or mixed breed) in our rescue, it would be our best determination since we have no specific breeding knowledge or other expert knowledge of the dog's breed other than what is represented by the shelter or provided infrequently by an individual releasing a dog. Not all dogs of any breed are of show quality. Such is determined by the breeder and stock and purity of breed. Our personal knowledge of the breed is factored into our determination, but by no means is it conclusive. If it is a highly bred, show-quality dog that you wish, our recommendation is that you consult a reputable breeder with excellent references and good credentials.

After clicking the "Submit Adoption Application Form" button at the bottom of this adoption application form, you will be redirected to the webpage where the adoption application processing fee payment is to be made. This donation is non refundable. Until payment is made, your application will remain in a "pending payment" status for 24 hours, after which it will be discarded. You may use your ATM Card, MasterCard, VISA, Discover, American Express, or your own PayPal account, to remit the adoption application processing fee payment. If you will require longer than 24 hours to remit payment for the adoption application processing fee, please hold off completing an adoption application until payment for the adoption application processing fee can be made concurrently with your application.


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Full name of applicant:

I have read and do understand and do agree to abide by the MINIMUM REQUIREMENTS/QUALIFICATIONS FOR ADOPTING.

Physical street address:

City:

County:

State:

Zip code:

Home phone with area code:

Cellular phone with area code:

Email address:

Confirm Email address:

Employer:

Physical street address of employer:

General Occupation:

Work phone with area code:

Typical work-week schedule:


Please tell us what your considerations are regarding a Boston terrier/French bulldog.

Have you ever been owned by a Boston terrier/French bulldog?

Which of the following are you wanting to do?

Would you consider a mixed-breed dog?

Would you consider a senior Boston terrier/French bulldog?

Would you consider a special-needs Boston terrier/French bulldog?

Are you willing to house train a Boston terrier/French bulldog?

Would you consider a Boston terrier/French bulldog that is not fully housetrained at the point of adoption?

Are you willing to teach basic obedience commands, such as "sit," "stay," and "down"?

What research have you done on the Boston terrier/French bulldog breed?

What Boston terrier/French bulldog(s) are you interested in adopting?

First Choice:

Second Choice:

Third Choice:


Please tell us about your family and home environment. While BTRA may approve a home with young children, we do carefully review the situation to be certain that the family situation and the dog are a good match so that the children are not put in danger. This said, it is the responsibility of the parents to safeguard their children; and if at any point they feel the dog is a danger to their child (or the child to the dog), they must bring the dog back to the rescue.

Family

How many adults live in your household?

Please list their ages.

How many children live in your household?

Please list their ages.

Child Number 1 Age:

Child Number 2 Age:

Child Number 3 Age:

Child Number 4 Age:

Child Number 5 Age:

Do you have small children who visit your home frequently?

Please list their ages.

Child Visitor Number 1 Age:

Child Visitor Number 2 Age:

Child Visitor Number 3 Age:

Child Visitor Number 4 Age:

Child Visitor Number 5 Age:

Home Environment

Does anyone in your household smoke?

Do you have a doggie door installed leading to your backyard?

If you do not have a doggie door, are you willing to install one?

What type of dwelling do you have?

What is your dwelling's approximate square footage?

If you do not own your dwelling, do you have permission from your landlord and/or do your tenants' association rules allow you to have a dog on the premises?

Do you have a backyard?

If you have a backyard, approximately how large is your backyard (indicate weather measurement is given in square feet or in acreage)?

If your have a back yard, is it entirely fenced?

If your backyard is entirely fenced, describe in detail the fence's specific construction (chain link fence, horizontal wooden slat fence, vertical wooden slat fence, etc.) the fence's height, and the spacing in inches between slats if fence is wooden.

Does the gate(s) that is built into your backyard fence remain closed at all times with a suitable, sturdy hasp to preclude the gate from unintentionally opening?

Do you have a digital camera?

If you have a digital camera, please take several photos of your backyard: one facing east, one facing west, one facing north, and one facing south, with each showing the fence and any gates. Send these digital photos to email address.


Narrative

Please tell us a little about your lifestyle and any activities in which you would like for a Boston terrier/French bulldog to be able to participate.

Please explain why you want to adopt a Boston terrier/French bulldog.


If you have pets or have had pets in the last 3 years, BTRA requires a reference from your vet prior to adoption. We will need to know that all pets in your care are up to date with all required vaccinations and that all dogs in your care are on heart worm preventative. Applications that do not provide complete veterinary information will not be considered. Please tell us about the pets you have recently owned.

Pet #1

What is this pet's status?

Name:

Species:

Breed:

Sex:

Spayed/Neutered:

Is this pet up-to-date with distemper & parvo vaccinations?

If you answered yes, what is the date of the last distemper & parvo vaccinations?

Is this pet up-to-date with rabies vaccination?

If you answered yes, what is the date of the last rabies vaccination?

Is this pet receiving a heart worm preventative?

If you answered yes, which brand of heart worm preventative is administered?

If you answered yes, how often is the heart worm preventative is administered?

If this pet is not up-to-date, that is, not within the past 12 months, with its distemper, parvo, and/or rabies vaccinations, please explain why there is a lapse.

Pet #2

What is this pet's status?

Name:

Species:

Breed:

Sex:

Spayed/Neutered:

Is this pet up-to-date with distemper & parvo vaccinations?

If you answered yes, what is the date of the last distemper & parvo vaccinations?

Is this pet up-to-date with rabies vaccination?

If you answered yes, what is the date of the last rabies vaccination?

Is this pet receiving a heart worm preventative?

If you answered yes, which brand of heart worm preventative is administered?

If you answered yes, how often is the heart worm preventative is administered?

If this pet is not up-to-date, that is, not within the past 12 months, with its distemper, parvo, and/or rabies vaccinations, please explain why there is a lapse.

Pet #3

What is this pet's status?

Name:

Species:

Breed:

Sex:

Spayed/Neutered:

Is this pet up-to-date with distemper & parvo vaccinations?

If you answered yes, what is the date of the last distemper & parvo vaccinations?

Is this pet up-to-date with rabies vaccination?

If you answered yes, what is the date of the last rabies vaccination?

Is this pet receiving a heart worm preventative?

If you answered yes, which brand of heart worm preventative is administered?

If you answered yes, how often is the heart worm preventative is administered?

If this pet is not up-to-date, that is, not within the past 12 months, with its distemper, parvo, and/or rabies vaccinations, please explain why there is a lapse.

Have you used a veterinarian for the pets listed above?:

If you answered no or N/A, then provide an explanation as to how medical care was provided to the pet(s) listed above.

If you answered yes, then complete the following section.

Primary Veterinarian Contact Information

(If you cannot provide a complete street address, city, state, zip, and phone number for your vet, then click here for assistance.)

Name of primary veterinarian:

Name of primary veterinarian office or clinic:

Physical street address:

City:

State:

Zip:

Office phone number with area code:

Name of account:

Name of pets in care of primary veterinarian:


If approved, please explain how you would care for your adopted Boston terrier/French bulldog.

Will the Boston terrier/French bulldog be allowed in the house?

If you answered yes, how many hours a day will the Boston terrier/French bulldog be allowed in the house?

Will the Boston terrier/French bulldog live solely outside?

Where will the Boston terrier/French bulldog stay when you are away from the house?

What is your work schedule (hours per day, days per week?

Have you made arrangements with a family member, neighbor, or friend who will take care of the Boston terrier/French bulldog while you are at work?

If yes, explain what these arrangement are.

Where will the Boston terrier/French bulldog sleep at night?

What type of shelter will the Boston terrier/French bulldog have access to while outside?

Are you familiar with the use of a dog crate to train and/or confine a Boston terrier/French bulldog during your absence or at night?

Are you willing to use a crate?

Are you aware that Boston terriers/French bulldogs are active and that they shed hair all year long?

Are you aware that routine costs of maintaining a Boston terrier/French bulldog averages $500 yearly?

Where would your Boston terrier/French bulldog stay when you are out of town?

What would you do with your Boston terrier/French bulldog if you were to move?

What would you do with your Boston terrier/French bulldog should you become unable to care for him/her?

Have you ever sold, given away, or surrendered a pet to a shelter?

If you answered yes, please explain why:


Applications To Other Rescue Organizations

Have you applied to any other canine rescue groups, including any other Boston terrier/French bulldog Rescue groups?

If you answered yes, which one(s) and what was/were the approximate date(s) of the applications?

What was the outcome of the application?


The adoption application process consists of several steps:

    • Fill out an on-line adoption application (mandatory).
    • Remit $20.00 application-processing fee (mandatory).
    • Obtain and study published literature about the Boston terrier/French bulldog breed (strongly recommended).
    • Read Adopting a Rescue Dog; The First Seven Days.
    • Veterinarian check performed by BTRA (mandatory).
    • Home visit performed by BTRA (mandatory).
    • Be patient during application review process (strongly encouraged), which can take from a few weeks to several weeks. BTRA does not expediate an adoption application; please do not make such a request.
    • If approved, then adoption fee is per the above pricing schedule and is payable in full upon receipt of Boston terrier/French bulldog via cash, check, PayPal, or credit card (mandatory).
    • Read, understand, and sign adoption contract (mandatory).

I have read and understand these steps.


I have read and do understand Frequently Asked Questions.

To assist in offsetting the cost of processing an adoption application, BTRA requires a $20.00 adoption application processing fee. This adoption application processing fee neither enhances an application's rating nor guarantees a positive adoption outcome. This fee is non refundable.

Do you understand that you must remit a $20.00 adoption fee in order for your application to be processed?

After clicking the "Submit Adoption Application Form" button at the bottom of this adoption application form, you will be redirected to the webpage where the application processing fee payment is to be made. This donation is non refundable. Until payment is made, your application will remain in a "pending payment" status for 24 hours, after which it will be discarded. You may use your ATM Card, MasterCard, VISA, American Express, or Discover, or your own PayPal account, to remit the adoption application fee. If you will require longer than 24 hours to remit the adoption application processing fee payment, please hold off completing this adoption application until the application processing fee payment can be made concurrently with your application.

The submission of this application form does not guarantee that you will be approved to adopt a Boston terrier/French bulldog from BTRA.


I authorize the aforementioned veterinarian and associated clinic personnel to release information about my pet and its care to BTRA.

PRIVACY POLICY: Information given to BTRA is confidential and will not be shared with any individuals or organizations. BTRA does not sell or rent the information you provide online to third parties.

I, , swear or affirm that all the information of this application is true and correct. I further swear or affirm that nothing has been withheld that would adversely affect my consideration in adoption of a Boston terrier/French bulldog, or any other dog, and that nothing in my background might disallow me from being considered for the adoption of a dog or any other animal. I swear or affirm that this dog is for my own personal enjoyment and is expected to be my dog and that I am not making this application for any third person or organization or group.

I, , further swear or affirm that I have never been prosecuted, successfully or unsuccessfully, on animal cruelty or similar charges, am in good standing with law enforcement, have no outstanding arrest warrants, and that I have never been refused by any other dog rescue or dog adoption agency, animal shelter, or similar adoption agency of a dog or any other animal.

Electronically signed by:

Date Signed: