Marcel – French Bulldog Fanciers of Canada

Marcel's Adoption Application Form

Do you meet Marcel's requirements?

Date *
Full Name of Applicant *
Email *
Home Phone *
Work Phone
Full Mailing Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Your Age *
Do any other adults live in your home? *
YesNo
If Yes, how many and what age(s)
Do any children live in your home? *
YesNo
If Yes, how many and what age(s)
Anyone in your houshold allergic to animals? *
YesNo
Who will be primarily responsible for the care of this dog? *
Do any other pets live in your home? *
YesNo
If yes, please list.
Do you own other dogs? *
YesNo
If Yes - What Breed/Age/Spayed/Neutered
In which of the following do you live? *
HouseApartmentCondo
How long have you lived at this address? *
If less than 2 years please provide previous address list
Will the dog live in your house? *
YesNo
If No, please explain:
Is your yard fenced? *
YesNo
If Yes, type and height
Do you have a pool? *
YesNo
If "Yes" is your pool fenced?
Do you ... *
Note: If you rent, we will require a letter of approval from your landlord including your address, phone and period of time you have lived at this address.own your property?rent your property?
Is someone usually at home during the day? *
YesNo
How long with this dog be left alone daily and where will it stay? *
Do you plan to travel with this dog? *
YesNo
If you answered No, where will the dog stay?
List memberships in any dog clubs,SPCA,etc.
Do other household members approve of getting a dog? *
YesNo
To feed, vaccinate, license & provide medical care,how much to you anticipate spending on this dog yearly? *
(This question is intended to evaluate you familiarity with the special needs of this relatively "high maintenance" breed, so we can more adequately provide educational material to you.) Why are you interested in adopting a French Bulldog? *
Are you familiar with the care, health and behaviour traits & issues of this breed? *
YesNo
Do you have experience with any of the following health concerns? *
Canine allergiesBrachycephalic syndrome/ Respiratory limitationsIVDD/spinal abnormalitiesNone of the Above
In the space below tell us about any other health related experience you have.
Do you have experience with the following behavioural issues?
Anxiety (fear)Anxiety AggressionFood AggressionDog AggressionCat or small animal aggression
In the space below tell us about any other experience you have with behavioural issues? *
Please describe breed experience. *
Under what circumstances would you consider giving up your adopted pet? (Check one or more) *
BarkingHousebreaking ChewingJumping UpShyness/Other FearsDiggingMoveScratching/Climbing on FurnitureNew BabyDivorcePersonal IllnessNone of the Above - I am committed to working with the animal to correct any of these & most other problems
Name of your Veterinarian *
Your Vet's Full Address *
Vet's Phone Number *
Would you accept a dog with special needs? *
YesNo
Do you have any interests in or affliations with - Pet Stores,Commercial Breeding Kennels, Buying of Dogs for Resale *
I doI do not
Have you ever been convicted of cruelty to animals? *
I haveI have not
Are you under suspension from a purebred dog association? *
YesNo
References and a home check will be required prior to consideration.
Are you interested in joining the FBFC? *
YesNo
PLEASE READ BEFORE SUBMITTING *
I understand that dogs placed through FBFC Rescue have been acquired, fed and boarded, received medical care and inoculations, been spayed/neutered, and been tested to be free of heartworm and contagious disease at the personal expense of the volunteers who comprise Rescue and who receive financial compensation only as it is available through donations I have answered all the questions on this application truthfully to the best of my knowledge and ability. I have read a copy of the adoption contract used by the FBFC Rescue, understand it and agree to abide by its terms should a French Bulldog be available for placement in my home. I understand that if, for any reason, I can no longer care for or keep the dog, I must return it directly to the FBFC Rescue, and I will sign all necessary papers for the surrender of the dog. I give my veterinary clinic permission to release to FBFC Executive any requested documents on pets they have attended to for me in the previous 3 years and this authorization is current for one year from application to adopt. I understand that by signing this form, I agree to release and covenant to hold harmless The French Bulldog Fanciers of Canada and its members from any claims, damages, costs, or actions incurred as a result of the care or actions of the animal. I accept full responsibility for the animal(s) actions at all times, and release the FBFC from any liabilities or damages that may be incurred as a result of adopting such animal(s). I hereby make application to the FBFC Rescue to have my name added to the waiting list for the purpose of giving a French Bulldog a permanent home.I agree

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