Adoption Application

Please read the information below very carefully. We typically respond to all applications within 72 hours.

Make SURE you fill out every box with a * symbol. These are required questions and your application will NOT come through unless you fill them out.

Name of pet you are in adopting? *

First *

Last *

Address *

Address 2

City *

State *

Postal / Zip Code *

Email *

Phone Number *

I am at least 18 years of age or older? *

Driver's License Number/State *

Place of employment

Work Phone Number

Work Address

Address Line 2

City

State

Postal / Zip Code

Type of Residence *

Number of Children under the age of 18 living in your home *

List all other animals living in your home. *

Why are you interested in adopting this pet? *

What is the name of current veterinarian?

Veterinarian Phone Number

Where will you keep this pet? *

Do you have a fenced backyard? *

How will you keep your new pet confined to your property? Please check all that apply *

Additional Terms

The Bella Foundation assumes no responsibility or liability for personal injury or loss of property as a result of pet adoption. The Bella Foundation reserves the right to refuse adoptions based on any of the criteria above. New owner agrees to a 14 day trial period where both animal and owner can adjust to each other. During that period if for any reason the new owner wishes to, the new pet can be returned/requested to be returned to The Bella Foundation for full refund of the adoption fee. If for any reason the new owner cannot provide or is unwilling to provide a home for the pet it will be returned to The Bella Foundation.

Potential owner agrees to provide veterinary care and yearly vaccinations for new pet at the owner’s expense. Potential owner is adopting this pet for themselves of their own free will and knowingly take on the responsibility of caring for an animal in their home.

Potential owner agrees that by checking "I Agree" they are legally and electronically signing this document. *

I Agree

PLEASE NOTE: Once you hit "Submit," you should see a confirmation message that your application was received. If you DON'T see that message, then we did NOT get your application, because it was not completely filled out. It will take you back to the top of the page and highlight in red the questions you still need to answer. Every question with a * symbol is required. If you can't answer, just type "none" in that box.

Happy Tails

Send us your Happy Tails.

CJ

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Sue

When SUE was referred to us for treatment she had Parvo and was a very sick little girl. After spending a week in the hospital, Sue was much better and was able to return home to the people who love her. Sue is one of the luck ones, most puppies don't survive. Sue wants everyone to learn from...

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River

We found River hobbling around our front yard about a week before Christmas. She was small and scared and injured. We wrapped her in a towel and took her to a vet, only to find that her pelvic bone was broken in several places. Not being able to afford the surgery on our own, we contacted The Bella...

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Chivas

I adopted Goldie, now known as Chivas, in May 2012. Since then she has charmed everyone I know and she is the sweetest little puppy. Her favorite thing is to play with squeaker toys and chase her feline sister Abby. I think she is the greatest dog ever. Thank you...

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