Lola's House of Bostons & Rescue Puppy Application

ADOPTION APPLICATION

WE ARE A 501c3 NON-PROFIT ORGANIZATION ALL PROFITS ARE DONATED TO OTHER DOGS IN NEED
Please confirm that you are aware our normal puppy adoption fee is $1,800 for all puppies. An initial $300 non-refundable Commitment Fee due at signing of our Commitment Agreement to be placed on our Litter Wait List. This Fee will be converted to a non-refundable Deposit when puppy is chosen and Adoption Agreement is signed. All of our adoption fees are tax deductible because of our 501c3 non-profit status. Approval of this application does not guarantee a puppy adoption. Agreed?*

Yes (Continue Application)No (STOP Application; this is a requirement.)
Please confirm that you understand that all puppies will come with LIMITED registration (AKC or CKC) and require a spay/neuter commitment. NO BREEDING RIGHTS WILL BE INCLUDED. Agreed?*

Yes (Continue Application)No (STOP Application, this is a requirement.)
Have you joined our FACEBOOK private Group for updates, pictures of our previous puppies and to speak to previous adopters yet?*

YesNo (Join Below)
JOIN: Lola's House of Bostons & Rescue FACEBOOK Group
How did you hear about us? (Check all that apply):*

FacebookOur WebsiteGoodDogPast AdopterWord of MouthGoogle SearchAKC / CKC WebsiteOther
Please share the name of the person who referred you, so we can thank them...
I am interested in (Check all that apply):*

FEMALE PuppyMALE PuppyADULTUNDECIDED? - Check out the following article...
MALE vs FEMALE BOSTON TERRIERS: Which is Better?
I am interested in the following puppy colors (Check all that apply):*

LILACBLACK & WHITEREDBLUEUNDECIDEDANY COLOR
I'm interested in a particular pup indicated below...
I am interested in the following litter(s) (Check all that apply):*

MAY 2026 - Molly Mae & Shiloh Wise (CKC B&W, Red)SEPTEMBER 2026 - Reba Fancy & Shiloh Wise (CKC Red, Lilac)NOVEMBER 2026 - Molly Mae & Shiloh Wise (CKC B&W, Red)OTHER (Indicate Particular Pup Above)
How do you plan on getting your puppy? (Check all that apply):*

Pick Up at RescueLocal Delivery in SC (Additional Fee)Transport Delivery out of State (Additional Fee)Meet at Rescue's Local Airport (GSP) (Additional Fee)
If you are local (within 2 hours) to Anderson SC, would you be interested in participating in our Guardian Home Program? *
***You will receive a female puppy, free of charge, in exchange for allowing us to breed her 3 times and then she will retire by age of 3 and be yours for life! Bonuses paid for litters and routine medical and preventatives paid by us. (Subject to availability.)***
Please upload a photo of you and your family...*

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Name*

First NameLast Name
Spouse's Name*

First NameLast Name
Address*

Street Address

Apartment # / Address Line 2

CityState

Zip Code
Email*
example@example.com
Spouse Email*
example@example.com
Phone Number*

Area CodePhone Number
Spouse Phone Number*

Area CodePhone Number
I'm interested in a Boston Terrier because...*
Have you researched the breed thoroughly to determine if the breed is right for you and if you are right for the breed?*
Please tell us about your family...*
Why do you think you and your home would be a great fit for one of our dogs?*
I live in:*
Who resides in the home? (Names, relationship, ages)*
Do you have other pets? If so, please tell us about them.*
What are the occupation of the adults who reside in the home?*
Would you consider your lifestyle:*

ActiveQuietA little bit of both
Is someone home during the day?*
How many hours will your dog be alone each day?*
Have you raised a puppy in the past? If so, what were your biggest challenges?*
Do you have a fenced in yard?*
If NO, please explain how your dog will get exercise and your plan for house training.
How would you discipline your puppy if he/she misbehaved, chewed or damaged household items?*
Have you or would you be willing to enroll your puppy in obedience classes, if necessary?*
Vet Name*

First NameLast Name
Practice Name & Address*

Practice Name

Street Address

CityState

Zip Code
Vet Phone Number*

Area CodePhone Number
Vet Email
example@example.com
Date of Last Vet Visit*
Where will your puppy stay when you are home?    Enter Answer*
When you are not home?   Enter Answer*
Sleep at night? Enter Answer*
Any rooms off limits?   Enter Answer*
Which of the following reasons might force you to give up your dog?*

Pets aren't getting alongDestructive chewingBiting / AggressionDiggingDivorce / SeparationAllergiesNot trainableMoving / RelocatingHouse training problemsVet Bills / Chronic illnessHaving a BabyGrowling / Nipping / BitingNew spouse / partnerExcessive Barking / Neighbor complaintsNONE OF THE ABOVE
Please list any questions you may have here:
Date Signed*

MonthDayYear
By TYPING YOUR NAME you are confirming all information is true and correct:*
TYPE FULL NAME ABOVE
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ADOPTION APPLICATION