Date *
Name *
Select the dog you’d like to apply for: * Select the dog you’d like to apply for:* Dorey Ira Justice Macklin Perdita Silas Winter Z-Alternate - For Administrative Only
Address *
Address Line 2
City *
Select Country * Select Country* United States United Kingdom Canada Australia Netherlands France Germany ------------- Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Central African Republic Chad Chile China Colombia Comoros Congo(Republic of the) Congo(Democratic Republic of the) Costa Rica Cote d’Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor (Timor-Leste) Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Fiji Finland Gabon The Gambia Georgia Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Yemen Zambia Zimbabwe
Phone / Mobile Number *
Alternative Mobile Number
Email Id *
Confirm Email Address *
Age of applicant *
Occupation of applicant *
What is the nearest major city to you? *
Please list household members (NAME/AGE/RELATIONSHIP TO YOU) *
List occupation of each household member over the age of 18 *
List all pets in household NAME / AGE / BREED / GENDER / ALTERED (SPAYED OR NEUTERED)? * *
Who will be responsible for the care of the dog? *
Does anyone in the household have allergies to dogs? If yes, how will that be addressed? *
Do you rent or own? * Do you rent or own?* Rent Own
Is your home a house, apartment, condo, trailer? * Is your home a house, apartment, condo, trailer?* House House with HOA Apartment Condo Townhouse Trailer Other (Specify in the next column)
Other
Do you have a pond? * Do you have a pond?* No Yes. Please describe the pond (i.e. 12 inches deep / Covered with a screen / 2ft wide by 4ft long by 8ft deep)
Please Describe Pond
Do you have a fenced yard? * Do you have a fenced yard?* No Yes. Please describe the type of fence you have.
Describe the fence of yard
Do you have air conditioning? * Do you have air conditioning?* Yes (Central Air) Yes (Window Units) No
Is someone home during the day? * Is someone home during the day?* Yes No
If you are gone all day (more than 6 hours) what are your plans for a mid-day break for the dog? * *
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? *
Veterinary reference’s name and phone number: *
The adoption fees range from $350-$900. Can you pay that? * The adoption fees range from $350-$900. Can you pay that?* Yes No
Do you have experience with the health problems and special needs of dogs with brachycephalic (short-nosed) breeds? * Do you have experience with the health problems and special needs of dogs with brachycephalic (short-nosed) breeds?* Yes No
Frenchies can have emergency health issues that can range from a few hundred dollars to $5,000-$7,000 for a back surgery. Do you have a plan in place for such emergencies? Please describe. *
The applicant must pick up the the dog. What arrangements will you make? Shipping is not an option. *
If you don’t currently have a dog, have you owned one previously? What breed? When? *
Have you ever had to re-home a pet? If yes, please explain the circumstances. *
Please tell us why you feel you would be the best possible home for this rescue Frenchie by explaining how you address the specific needs and/or issues stated in its biography. *
If this is a special needs dog, please specify how you are qualified to address the specific needs of the dog. *
Have you applied for any other foster dogs within the last twelve months? If so, what were their names? *
Do you know any current or former member of FBRN? No volunteer with whom the applicant has a relationship will be involved in the selection process. If yes, who? What is your relationship? *
Please read and agree to the terms below.
6 + 2 = ? Please prove that you are human by solving the equation *