Which dog(s) on our website would you like to learn more about at this time?

***Note that our number one objective is finding the perfect home for our rescued dog.  Multiple applications are received daily for each dog we have available for adoption.  If we feel that you are a possible match for the dog(s) you listed we will contact you for an interview, otherwise we will file your application for three(3) months and contact you as soon as the right Boston comes along that fits what you are looking for.  In the meantime, we encourage you to check our website on a weekly basis as dogs are added every week. If a dog is listed that you would like to learn more about email us or call us, no need to submit another application.

The information provided below will be kept confidential and not shared with other parties outside of MABTR's organization.  If you are looking at other dogs from other organizations you will need to contact them directly and complete their adoption application as well.

Though you may think our adoption procedures are a bit stringent, please remember that many of our Boston’s have already been separated from a home, and not always a loving one. We try very hard to make the adoptions successful, and make the right decisions for the Boston.

About the Adopting Family

First Name    Last Name

E-Mail Address(s) (Our preferred source for communication)

Street Address    City     State    Zip Code

Home Phone    Work Phone    Cell Phone

Best Time to Call (i.e. any, days, nights, weekends)                   

Who in the household will be responsible for this pet?

List all persons residing in the household

(include yourself, spouse, friends, and any children who live in the house on a permit basis)

Are there plans for (more) children in the future?    Yes    No

How many children VISIT your home and what are their ages?

Living Situation

How long have you lived at the present address?        Months Years

Do you rent or own your home? rent    own

 *Please note that renters must include documentation from the landlord that dogs are allowed to live in this dwelling and that a leash law exist.  Your landlord's name and phone number will be asked for in the comments section at the end of this application.

  **We also recommend that you reach out to your landlord to validate any additional costs you may incur towards your deposit and/or rent by having a dog.

What style is your home? 

Ranch  Multiple Story   Other-i.e. apartment & what floor, mobile home

If something were to happen to you and you could no longer care for your pet, what is your contingency plan?

Where will the pet be kept.....

        While you are at work?

        At bedtime? 

        When your are running errands?

        When on vacation?

On average how long will this pet be left alone each day? (Note if you come home for lunch or have split work shifts)

*MABTR requires a fenced in area from families who live in house, however we DO adopt to apartment complexes and communities where fences are not allowed.  In these cases the leash law will be enforced. 

We know that Boston Terriers are indoor dogs, however due their activity level they still require freedom outdoors without a leash. 

Choose your fence type/height: (Choose those that apply)      

4 ft chain    4 ft wood    5 ft chain    6 ft wood    6 ft plastic    Invisible fencing     No Fence**

**If you do not currently have a fence please explain why in the Comments section at the end of this application.

Will your dog have access to the following: (Choose those that apply)   

Doggie door    Socialization with other dogs    Dog walks outside of the home

References

Please provide name and contact information for your veterinarian, or the one you will use for this pet.

Vet Clinic Name

Address

Phone Number

Please list two other references we may contact regarding this adoption. We will note contact the references without informing you. References are REQUIRED.

    Reference #1.

        Name

        Phone Number

    Reference #2.

        Name

        Phone Number

Household Pet Status

Please list all types of pets (cat, dog, birds, etc) currently residing in the house. Include breed, age and gender.

*If you have listed more than two dogs above as residing in the home, please make sure to check with your local animal officer to ensure you are not past the maximum number of pets allowed in the household.

If any of your pets is NOT spayed or neutered, please explain why: 

MABTR promotes spay and neutering due to the overpopulation of unwanted pets.  This is why MABTR exists.

Unless your dog has a medical condition or surgery is not recommended by your vet we ask that all pets in the house (dogs and cats) be altered.

If you have lost a pet or it died at an early age or due to an accident, please provide details on how:

If you have ever given up a pet or put one to sleep, please provide details on why:

If you have ever surrendered a pet to a shelter or rescue group before please provide details on why:

How much money do you plan of spending or do spend on your pet(s) each year (food, vet, boarding, toys, etc.)

About the Dog you are looking for

53% of MABTR dogs are puppy mill survivors.  These dogs are NOT housebroken at the time of adoption but can be after a few months of training.  Please tell us how you feel about having to housebreak a dog.

Use the comment space below to expand on your answer if necessary.            

Accidents inside are to be expected. I am willing to work with the dog on housetraining    

Accidents inside are unacceptable. This would not be a good match for me.

*Note that even with a housebroken dog accidents can occur during transition into a new home.

Gender Preference:   

Female    Male    No preference on gender

Will you consider ANY AGE dog if the dog meets all your criterias and is a good match for your family?
YES, I am open to any age dog     

      NO,  what age(s) would you consider adopting?

8 wks to 6 mnths    6 mnths to 1 yr    1-4 yrs    5-7 yrs    8+ yrs   

If you have more details you want to share around age please include in the comments section.

Active or Inactive lifestyle: (Choose all that apply if any) 

Active - Energetic: takes walks, etc    Inactive - Calm, couch tater, etc

Other characteristics I would like my dog to have: (Choose all that apply if any)

Kid friendly    Dog friendly    Cat friendly    Cuddler    Sleeps in bed   

Will you consider a dog that requires some training?  

Please keep in mind that 53% of our rescues are from puppy mills and they require training in the areas of potty training, commands, boundaries, socialization and routine.

Yes, I am open to a dog in need of training

If "no", what behaviors are you NOT WILLING to consider? (Choose all that apply)

Jumps       Snores (common with most Bostons     Growls                           Chews (puppy stage) 

Timid Personality     Plays rough                           Separation anxiety          Barks   

Digs                        Has marked territory indoors and working on improving    Not leash trained

Which of the following would you consider ACCEPTABLE: (Choose all that apply)

Deaf    Blind    Other Health Issues that may require medication    NONE 

Would you consider adopting a Boston Terrier MIX?    Yes/Maybe     No

Additional Facts

Are you applying for the "Golden Paws for Golden Years" program?     Yes    No

*MABTR program places adult dogs (7 years of age or older) with qualified senior citizens who are 60 years of age or older.  Those that qualify get $50 off the listed adoption fee.

How did you hear about MidAmerica Boston Terrier Rescue?

Would you be willing to drive part way to meet and pick up your new pet?    Yes    No

    ***MABTR has a great network of transport volunteers. With that said your travel requirements to meet your new dog is minimal. 

    We have transports in and out of all states that we foster in to all the states we provide service in. 

COMMENTS:

**If you do not currently have a fence please explain why in the Comments section.

***If you live in an apartment or a rental please provide the name and number of your landlord so that we can validate that dogs are allowed and that you have a leash law.

By submitting this form you are declaring that all the information contained above is true and correct. That you are over 18 years of age and a decision maker in the household. That you are looking to adopt a pet and accept full responsibility for his/her care.

I agree to abide by all state and local pet control and leash laws.

MABTR will take into consideration the Bostons that you express an interest in to see if they will match your home situation.  We act in the best interest of the rescued Boston...not the potential adopter.  For various reasons a particular Boston would not fit in a particular home.

We will keep applications on file for the period of three (3) months.
 

By submitting this application I give permission to contact the references above.

If you DO NOT receive a response from MABTR via email within three days of submitting this application please call us or email us directly.

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