Adoption Application

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Placing our rescues into homes is without a doubt our most important task as volunteers.
Our process may seem strenuous but please be ensured that we take the time to carefully and diligently screen each applicant with the hopes of this family being each one of our rescue’s final and forever family.

*To ensure a successful submission, please complete application via computer NOT by phone or iPad*

​Once your application is received you will receive a confirmation email from one of our coordinators.
Please note, our adoption process can take weeks to months based on the specific dog.

​PLEASE ENSURE YOU RECEIVE AN AUTOMATED CONFIRMATION EMAIL AFTER SUBMITTING AN APPLICATION!
If you do not, that means your attempt was not successfully sent.

Adoption Application

(ex. someone@example.com)

Street Address Line 1

Street Address Line 2

(ex. 1-123-456-7890)

YesNo

YesNo

YesNo

YesNoI Need More Information

YesNoI Need More Information

YesNo

YesNo

YesNo

YesNo

YesNo

YesNoOther

If you chose "Other" please explain

YesNo

YesNoN/A

YesNoN/A

(ex. 1-123-456-7890)

Rent/LeaseOwn

1 Story Ranch2 Story HouseDuplexApartmentCondoMobile HomeOther

If you chose "Other" please explain

(ex. someone@example.com)

(ex. 1-123-456-7890)

(ex. 100 years 11 months)

YesNo

If yes, please explain what type and is the whole yard fenced in?

YesNo

YesNo

If you are unable to keep this Bulldog for any reason during its lifetime, we require that you contact Queen City Bulldog Rescue. Once a QCBR dog, always a QCBR dog.

(ex. 1-123-456-7890)

(ex. someone@example.com)

(ex. 1-123-456-7890)

(ex. someone@example.com)

Yes

Yes

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