Bulldogs Urgent Mission Program to Expedite Re-Adoption
              Application for Adoption
Required Information Below:

The entire BUMPER team would like to thank you for wanting to provide a Bulldog a forever” home. There’s nothing a Bulldog needs more than a safe environment full of attention, care and love. Keep in mind, Bulldogs are not for everyone. Please take careful consideration in adopting a Bulldog. Bulldogs require more care and attention than other breeds of dogs. Our adoption policy is NOT a first come, first serve basis. We try to match the Bulldog up with the right family to ensure that this is the last and final placement.

All information contained in this application remains confidential and is only accessed for the purpose of finding homes for the Bulldogs available within BUMPER
(Bulldogs Urgent Mission Program to Expedite Re- Adoption Corp.). All applications will be reviewed carefully by an authorized BUMPER associate(s). An authorized Bumper associate may deny an application for any reason(s) deemed unacceptable at the time the application was submitted.

Please allow 7-10 days for a reply as all BUMPER team members are volunteers. If you have any questions or concerns, you can email us at bumperbulldogrescue@aol.com. Please complete this form in it's entirety, add any notes and then hit submit. Thank-you.

First Name:
Last Name:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Daytime Phone:
Evening Phone:
Name of Employer:
Employer Address:
Employer Phone Number:
Place of residence? ex. house, apartment etc.:
Do you rent?:
If yes, name of landlord::
Landlord's Phone Number:
How long have you lived at this address?
Do you have a swimming pool?:
Is the pool fenced in?:
Do you realize Bulldogs cannot swim?:
Is your home air conditioned?:
Is your car air conditioned?:
Is your home fenced securely for a bulldog?:
Describe your fence?:
If you move in the future will it be to a dog friendly home?:
Do you have any children?:
If yes, list names and ages:
If yes, will they be supervised around the bulldog?:
If no, are you planning to in the future?:
Is any member of the family allergic to dogs?:
How many adults live in the house?:
Who will have responsibility for the dog?:
Is there anyone in the home with disabilities?:
If Yes, what are their disabilities?:
Do you have any additional pets?:
If yes, please list what and their ages:
Are they spayed and neutered?:
Is someone home during the day?:
Will you allow BUMPER to do a home inspection?:
Have you ever owned an English Bulldog before?:
Have you educated yourself on the breed and their needs?:
Do you have a gender preference?:
Do you have an age preference?:
Would you consider a senior 7+?:
Would you consider one with some health issues?:
Would you consider one that has been neglected or abused?:
Would you consider one that has anxiety?:
Would you consider one that is not house trained?:
One that has Spina Bifida and requires diapers?:
One that has special dietary needs?:
Would you consider a bonded pair?:
What behaviors do you feel you are not willing to adopt for?:
How many hours a day will the bulldog be alone?:
Where will your bulldog be kept when no one is home?:
Are you financially able to care for a bulldog?:
How many miles are you willing to drive to pick up your adopted bulldog?:
What will you do with your bulldog when you go on vacation?:
Have you ever had a pet euthanized?:
If yes, please explain::
Have you ever brought a pet to a shelter?:
If yes, please explain:
Name of your Veterinarian:
Address and phone number of Veterinarian:
Personal Reference 1 - Name and phone number:
Relationship (non-household members):
Personal Reference 2- Name and phone number::
Relationship (non-household members):
Do you object to a BUMPER volunteer checking in periodically?:
I represent that the information that I have provided on this application is the truth to the best of my knowledge, and hereby give permission for BUMPER to confirm all information. This means that you give us permission to call references, veterinarian, and landlord. (initial here):
By initialing this box, I am stating that I am financially and physically able to care for this dog. I understand that annual costs of $2,000 plus is not unusual and I am able to meet these requirements.:
I agree that by initialing this box, I understand that there will be an adoption fee ranging from $300-$800 (amount to be disclosed prior to placement) and is payable in full in cash, paypal or by personal check at time of adoption.:

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