Adoption Application

Bichon FurKids Rescue wants to adopt Bichons, Bichon mixes and their canine buddies to a person or family who is/are willing to provide a loving forever home in which the dog’s health and well-being is taken care of responsibly.

We believe that adopting a dog is a commitment to the lifetime of this dog as your companion animal. We appreciate your willingness to complete this form so that we can learn more about you, your family and home environment. Because we take pet guardianship very seriously, we will carefully check your references. As a result, we hope that we will be able to place one of our dogs with you. Not every person who applies and desires to adopt a dog from us, however, will be qualified. People who work full time outside of the home and cannot, for example, provide for doggy day care or for the dog to stay with a human companion while they are working, are generally not considered appropriate adopters for bichons who desire to be loving companions and members of a family.

Once you have submitted this application, please know that the next step is that you will be contacted by a volunteer to schedule a home safety check. That generally occurs within 48 hours of us receiving the application however we are an all-volunteer organization -- so please understand if it takes us a bit longer. Additional information as to our process can be reviewed on our web site under Our Process.

Our adoption fee is $350 for most dogs over a year old; our dogs are up to date with shots, spayed or neutered, and ready to become a part of a forever family. Many of them are also microchipped. All come with supplies including a bed, blanket, leash, collar, harness, food, vitamins and training CD. Many are already trained and all are socialized. Unlike some other groups, we do not separate a bonded pair and there is a fee for each dog.  For senior dogs in bonded pairs the fee will be negotiated and quoted to the prospective adopters prior to adoption.  For our puppies, under one year, the adoption fee is $500.

We appreciate your awareness that we have many wonderful fur kids looking for Forever Homes – and we look forward to meeting you through our adoption process.

 

Your information
Last Name, First Name:
Name of Spouse:
Physical Address (no PO Boxes):
City:
State:
Zip:
Home phone:
Work phone:
Cell phone:
Email address:
Names of all people living in your home and their relationship to you. If you have children living in or visiting your home, please also include their ages
What is the name of the company where you (and your spouse, roommate or significant other) are currently employed? (If you are self-employed or do not work, please indicate that as well.)
What hours are you home during the day? Away from home?
IMPORTANT NOTE:  Most of our dogs are in foster care in Southern California. Applicants located outside this area must be willing to come to Southern California to meet and adopt our dogs.
Your home
Type of dwelling you live in:	House Condo Apartment
Do you own or rent the home/condo in which you currently live?	Own Rent
If you rent, does your landlord approve your having a dog?	Yes No
Do you have a fenced in yard?	Yes No
Please explain how you will handle toilet duties and exercise.
Do you have a pool?	Yes No
If so is it fenced in?	Yes No
Your pets
Do you currently own another dog or pet?	Yes No
If so, please list names, breeds and ages:
Is your pet spayed or neutered?	Yes No
If you do not currently have a dog, have you owned one in the past?	Yes No
If yes, please tell us what happened to this dog. If it died, how old was it and what was the cause of its death?
Please provide the contact information for your vet:	Name: Address: Telephone number:
If you do not currently have a veterinarian, please provide the names and contact information for two personal references (outside of family members.)
Do you give us permission to contact your vet?	Yes No
Your New Dog
What is the name or type of dog you are looking to adopt?
If the requested dog is not available, are you open to meeting others?	Yes No
Do you have a gender preference?	Male Female Doesn't matter
Dog of what age would you like to adopt?
Does everyone in your family want this dog?	Yes No
Who will be responsible for this dog?
Will the pet be left alone for long periods of time?	Yes No
On average, how many hours a day will the dog be left alone?
Where do you plan to keep the dog while you are gone (long & short periods of time)?
Where will the dog sleep?
Are you willing to accept the responsibility of housebreaking a dog if it is not already completely housebroken?	Yes No
Are you prepared to ensure that this dog receives regular veterinary care?	Yes No
Bichons and Bichon mixes require regular grooming for hair, ear, eye and nail care.  Are you willing to provide these services?	Yes No
Bichons often live for 15 years or more. Will you be able to provide care for this dog for its lifetime?	Yes No
In the event that you are unexpectedly incapacitated or that the bichon could outlive you, who have you designated to care for this dog?	Name: Address: Telephone number:
Why do you want a rescued pet and how are you prepared to meet its special needs?
Would you consider adopting a dog with special needs?	Yes No
If yes, please check the special needs you feel you could handle?	Mature Blind Deaf Allergies Ongoing Medical care
Tell us more about your ability or experience with caring for pets with special needs.
Under what circumstances would you not keep the dog?
I am at least twenty-one (21) years old and wanting to adopt a dog. I understand, that this Bichon Frise or Bichon mix, MUST be an INDOORS pet. This dog will be an inside dog and will not be left unattended outside. I further understand, if for ANY reason, that this adoption does NOT work out, I will return it to Bichon FurKids Rescue. I understand the tax deductible adoption fees are $350 for dogs over a year old, $500 for puppies, under one year and that senior dogs (over 10 years) may have a lower adoption fee. Yes No