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BEDR ADOPTION APPLICATION
Applications can only be accepted for available dogs.
To see what dogs are available for adoption please visit our adopt page at bedr.ca
Name of Dog or Puppy you are interested in?
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🛈
Where did you learn about this dog and Bright Eyes Dog Rescue? (choose up to 3)
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Facebook
Google Search
Instagram
At an adoption event
Friend
Other
Other
Applicant Information
First Name
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Last Name
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Street Address
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Mailing address if different
City
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State/Province/Region
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Zip/Postal Code
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Phone Number
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Country
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Email Address
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All household members names and age range
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Who will be primary care giver?
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Occupation
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Daily work hours?
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Do you
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Own your house
Rent your house
Landlords Name
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Landlords Phone #
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Is your yard fully fenced?
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Yes
No
How high?
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Do you currently own any pets?
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Yes
No
List type age and gender of all pets
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Are your pets all spayed/neutered?
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Yes
No
If no, please explain
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Have all your pets been vaccinated in the last 3 years?
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Yes
No
If no, please explain
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How do you think your pets will respond to a new dog?
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Where will the dog spend the day?
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Where will he spend the night?
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How many hours will you have to spend with the dog daily?
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How many hours will the dog be alone per day?
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Have you ever taken an obedience or formal dog training class?
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Yes
No
Are you prepared to deal with any behavior issues that arise (such as jumping up, pulling etc). It will take the dog time to settle into it's new home and patience will be required with training issues.
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Yes
No
Are you prepared for shedding, nose prints and paw tracks?
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Yes
No
How will you take care of grooming?
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Do it myself
Take to a professional
Describe your idea of a great dog.
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What is your reasons for wanting to
adopt a dog?
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What will happen with the dog while
your on vacation?
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Have you adopted an animal from a rescue/shelter before?
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How many dogs have you owned in the last 5 years?
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What happened to them?
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May we contact your vet?
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Yes
No
Who is your vet?
Vet's Phone #
Do you agree to license and give regular health care to this dog?
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Yes
No
Do you agree to take an obedience class with this dog?
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Yes
No
Do you agree to contact Bright Eyes Dog Rescue if you are unable to care for this dog?
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Yes
No
Do you agree to pay the adoption fee as set by BEDR?
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Yes
No
Please provide a reference name & phone number (1 is required, 3 is preferred)
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Please provide a reference (name & phone number)
Please provide a reference (name & phone number)
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