Bulldog Application (Canadian)

Application Date*
MM slash DD slash YYYY
This section provides us with information about the residence that your Bulldog will be calling home.
Applicant Name*
First Last
Age*
Applicant – Cost of Care*
- I would be responsible for the cost of care for this pet.
- Someone else will be responsible for the cost of care for this pet.
Please tell us who will be responsible for the cost of care for this pet.
Applicant – Place of Employment*
Length of Employment*
Is there a Co-Applicant?*
- No
- Yes

Co-Applicant Name (if any)
First Last
Age
Co-Applicant – Cost of Care
- I would be responsible for the cost of care for this pet.
*Both applicant and co-applicant can list themselves as responsible.
Co-Applicant – Place of Employment
Length of Employment

Physical Address*
Street Address Address Line 2 City Province Postal Code

(must be the same for both Applicants)
Previous Address
(if less than a year at your current residence)

Street Address Address Line 2 City Province Postal Code
Main Phone*
Cell Phone (If different from main phone)
Name of dog that you are interested in?
(E.g., specific dog name, desired breed, or no specific dog)
Are you currently applying at other Rescues or Shelters?*
- Yes
- No

This section helps us to understand why you want to apply to adopt an English Bulldog and a little about your past experience with he breed.
Why Do You Specifically Want An English Bulldog?*
Please give this some thought and articulate. The fact that they are cute or that Uncle Bob had one is not a sufficient reason.
How Many Miles Are You Willing To Travel To Get the Perfect Dog?*
Are You Willing To Take A Dog With Special Needs?*
- Yes
- No
- I hadn’t thought about it?
If Yes, Which?
- Blind Or Visual Impairments (EB often have chronic dry eye/distichia/cherry eye)
- Behavior Issues (such as barking/humping/protective)
- House Training Issues
- Allergies
- Dog needing to be only pet
Have You Ever Owned An English Bulldog? If So When And Where Is It Now?*

Bulldogs are expensive to feed, maintain and care for especially when they are ill. This section provides us with information about your understanding and plan for the care and feeding of your Bulldog.
Are you aware of the daily maintenance care necessary to keep them in good health?*
These are items such as cleaning folds/tail pockets; eye drops; weekly bathing; etc.
- Yes
- No
- I am not sure
Who would be responsible for the dog's care?*
This field is hidden when viewing the form
Who would be responsible for the cost of care for this pet?
Are you aware that bulldogs often have food allergies and to keep them healthy, it is best to feed a non-grain / non-poultry dog food?*
- Yes
- No
What amount of money would you anticipate spending each year?*
Would you consider pet insurance?*
- Yes
- No
- I am not sure
How would the dog be exercised?*
(keeping in mind that Bulldogs are heat and exertion intolerant)
Please list most recent and/or primary veterinary clinic*
If they have treated your animals for less than one year, please provide veterinarians preceding them. Also please provide all information including phone numbers. You must also call them and give your consent for them to release information to us.
This field is hidden when viewing the form
Please list three personal references with email addresses (Hidden/OLD)
We prefer non-relatives and people who have frequented your home and are firsthand aware of the care that you provide your animals, past and present.
This field is hidden when viewing the form
Please list three personal references with email addresses (Hidden/OLD)
We prefer non-relatives and people who have frequented your home and are firsthand aware of the care that you provide your animals, past and present. These must be email addresses (no phone numbers).
Name Email Address
This field is hidden when viewing the form
Reference #2
Name Email Address
This field is hidden when viewing the form
Reference #3
Name Email Address
Please list three personal references with email addresses*
We prefer non-relatives and people who have frequented your home and are firsthand aware of the care that you provide your animals, past and present. These must be email addresses (no phone numbers).
First Last
Reference #1 Email Address*
Reference #2 Name*
First Last
Reference #2 Email Address*
Reference #3 Name*
First Last
Reference #3 Email Address*
Have you ever surrendered an animal to a rescue organization?*
- Yes
- No
If yes, when and why?
Have you ever been charged with animal abuse or had an animal taken from you?*
- Yes
- No
If yes, when and why?

This dog is never to be sold, surrendered, or given away if you are unable to keep it the dog must be returned to VEBR.
Electronic Signature*
(type your name as you would sign it)
Electronic Signature Agreement. By selecting the “Submit” button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting “Submit” you consent to be legally bound by this Agreement’s terms and conditions.
Email*

This email address will be used to send you a confirmation that we have received your request.
Phone
This field is for validation purposes and should be left unchanged.

Bulldog Application (Canadian)

Adoption Form – Bulldog (Canadian)

Adoption Form – Bulldog (Canadian)

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