Adoption Application "*" indicates required fields LinkedInThis field is for validation purposes and should be left unchanged.What dog are you interested in adopting? **Applicant 1 Name* First Name Last Name Applicant 2 Name First Name Last Name Email* Phone Number*Secondary PhoneAddress* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country How long have you lived at your current address?*Marital StatusPlace of Employment*How long at your current place of employment?*1. How did you hear about TPBP?*2. Please select one of the following:* I own I rent an apartment I rent a home I rent a condo I rent a mobile home 3. Provide landlords name and number if you rent/lease.4. Activity level of household Quite Moderate Active Very Active 5. How many adults are in your household? Please include relationship to applicant.*6. Please list ages and genders of any children in the home.*7. If you have a fenced yard, please explain the type and hight of said fence.*8. If you do not have a fenced in yard, what will you do for the pet's exercise and elimination requirements?9. Describe any hazards (pool, traffic, etc.) and how the dog will be protected from them.9. Describe any hazards (pool, traffic, etc.) and how the dog will be protected from them.10. Under what circumstances do you think that is is OK to let a dog outside unattended?*11. What in your opinion, would constitute a prime reason for giving up a pet?*12. Do any of your family members have allergies to animals? If so, please explain.*13. Why do you want to adopt this dog?*14. Who made the decision to adopt a dog?*15. How much time and thought have you put into adopting a dog?*16. What do you think is a reasonable monthly cost for food, supplies, grooming, vet care, etc.?*Enter dollar amount17. How many pets have you owned in the past 5 years? Where are those pets now?*18. Please enter the name, age, and type of pets that you currently have in your household. Please state if all pets are spayed/neutered.*19. Where does your current pet/pets sleep?*20. Where does your current pet/pets stay when home alone?*21. What type of ID do you have on your current pet?22. What if any types of behavior problems have you had experience with in previous or current pets?*23. What did you do about the problem(s) listed in Question 22?*24. Where will your new pet sleep?*25. Where will you keep your new dog when home alone?*26. How many hours a day will your new dog be home alone?*27. Do you have crate training experience?*28. Will your new dog be crate trained? If not, please explain.*29. If you are unable to continue to provide a home for this dog, what will you do with him/her?*30. Where will your dog stay if you are on vacation or during unexpected emergencies?*31. If you have ever given away a pet, please explain the circumstances and what you did with the pet.*32. I understand that we require newly adopted dogs to attend puppy socialization or obedience class.*33. What would you do if you have to move into an apartment/nursing home/medical facility that does NOT allow pets?*34. Please explain how dogs get heartworm disease.*35. Please state what brand of heartworm prevention you currently use.*36. What will you use to prevent fleas & ticks?*37. Please explain how Parvo is contracted?*38. Please list your current as well as previous veterinarian's name, phone number and clinic name. Whose name will the account be found under. Please contact your vet and allow them to release your vet records to TPBP.*39. Please list the names, phone numbers, and relationship to you of three personal references.*40. Do you object to a home visit by a representative of our organization?*41. Do we have permission to contact your vet and/or references? If you select yes, please notify your vet and references we will be contacting them.*I understand the statements I have read about this dog are true based upon the foster evaluation of this dog. I understand this dog may behave differently (negatively or positively) in my home. I understand that while the dog might be good with the current foster’s dogs, cats, children, etc., it may not be with my animal(s) or child(ren). I understand that the dog may be housebroken in the home of the foster, but may relapse in my home. I understand that the dog is represented to me as it performs and behaves in the foster home and any statements made regarding the dog are conditional to the foster home setting. I have read all of the information about the dog and understand I cannot claim that I did not understand the facts about this dog as understood by Toledo’s PET Bull Project and/or the foster. I understand that the statements made regarding this dog are simply overviews and are not guaranteed. Furthermore, I understand that my adoption fee is non-refundable for any reason. By clicking agree you are indicating that you have answered every question truthfully and are aware that any false answers will be grounds for immediate rejection. You also give Toledo's PET Bull Project permission to contact all personal references and your veterinarian, giving them permission to speak with us. We would like to thank you for your interest.*AgreeDisagreeNotes