FBRN Online Application

Date

MM
/
DD
/
YYYY
Applicant's First Name*
Applicant's Last Name*
Dog you'd like to apply for*
Address*

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Email*
Confirm Email*
Phone Number*

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Alternate Phone Number

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AGE OF APPLICANT*
OCCUPATION OF APPLICANT*
WHAT IS THE NEAREST MAJOR CITY TO YOU?*
PLEASE LIST HOUSEHOLD
MEMBERS
(NAME/AGE/RELATIONSHIP TO YOU)
*
LIST OTHER PETS IN HOUSEHOLD
(NAME AGE/TYPE OF
PET/GENDER/ALTERED?)
*
WHO WILL BE RESPONSIBLE FOR THE CARE OF THE DOG?*
DOES ANYONE IN THE HOUSEHOLD HAVE ALLERGIES TO
DOGS? IF SO, HOW WILL THAT BE ADDRESSED?
*
DO YOU RENT, OWN OR LIVE IN A MULTI-GENERATIONAL
HOUSEHOLD?
*
IS YOUR HOME A HOUSE , APARTMENT, CONDO OR
TRAILER?
*
DO YOU HAVE A POOL OR A POND? IF YES, IS IT
FENCED?
*
DO YOU HAVE A FENCED YARD? IF SO, WHAT TYPE OF
FENCE DO YOU HAVE?
*
DO YOU HAVE CENTRAL AIR-CONDITIONING? OR WINDOW
UNITS?
*
IS SOMEONE HOME DURING THE DAY?*
 Yes 
 No 
HOW LONG WILL THE DOG BE ALONE EACH DAY?*
WHERE WILL THE DOG SLEEP?*
WHAT DOG CARE ARRANGEMENTS HAVE BEEN MADE FOR WHEN
YOU TRAVEL?
*
WHY DO YOU WANT TO ADOPT A FRENCH BULLDOG FROM
FBRN?
*
THE ADOPTION FEES RANGE FROM $250-$650. CAN YOU
PAY THAT?
*
 Yes 
 No 
VETERINARY REFERENCE'S NAME & TELEPHONE NUMBER*
ARE YOU FAMILIAR WITH THE HEALTH PROBLEMS OF
BRACHYCEPHALIC (SHORT-NOSED) DOGS?
*
 Yes 
 No 
HOW MUCH DO YOU PLAN ON SPENDING PER YEAR TO FEED,
LICENSE AND PROVIDE VETERINARY CARE FOR THIS DOG?
*
WHAT ARRANGEMENTS WILL YOU MAKE TO PICK-UP YOUR
DOG?
*
IF YOU DON'T CURRENTLY HAVE A DOG, HAVE YOU
PREVIOUSLY OWNED ONE? WHAT BREED? WHEN?
*
HAVE YOU EVER HAD TO RE-HOME ONE OF YOUR PETS?
WHY, AND WHAT WAS THE RESULT?
*
PLEASE TELL US WHY YOU FEEL YOU WOULD BE THE BEST
POSSIBLE HOME FOR THIS RESCUE FRENCHIE, BASED ON
THE NEEDS STATED IN ITS BIOGRAPHY
*
I have read and agree to the terms.*
 Yes, I agree. 
I understand that dogs placed by the French
Bulldog Rescue Network have received necessary
veterinary care, have been spayed or neutered,
have been tested to be free of heartworm, and have
received additional veterinary care as needed,
thanks to the generosity of the benefactors who
donate to the French Bulldog Rescue Network.
Adoption fees received for our rescue dogs account
for a significant percentage of those
donations.

I have answered all of the questions
contained in the French Bulldog Rescue Network
Adoption Application truthfully, to the best of my
knowledge and ability. I understand that, if for
any reason, I can no longer care for or keep a dog
that the French Bulldog Rescue Network has placed
with me, I must return it directly to the French
Bulldog Rescue Network, and I will sign all
necessary papers for the surrender of the dog. By
submitting this form, I hereby make application to
the French Bulldog Rescue Network to be considered
for the purpose of giving a French Bulldog a
permanent home.
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*** If you're NOT taken to a new page after selecting the submit button, please scroll through and make sure you answered all the questions. Everything must be answered for your application to go through.

Thank you.