Adoption Application – Kansas City English Bulldog Rescue

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Lifestyle
What 3 words would BEST describe your family?*
Please describe any changes you expect in your household in the next few years (new job, children, moving, etc.)
Are any family members home during the day?*
PETS (Current & Past)
Have you ever owned a Bulldog?*
Do you currently own any dogs?*
Do you own any cats?*
Please list all pets (DOGS, CATS, & OTHER) that live in your home currently or did in the last 5 years. ( List Name, Type , Breed, Age, Gender, Spayed/Neutered, and where they are at now)
We must have this information for when we do our Vet reference check. If this information is not included this can impact your application status.
Have you ever given a pet to a rescue organization or shelter?*
If yes, please describe the circumstances.
Have you ever re-homed a pet to any place/person other than a shelter or rescue?*
If yes please describe the circumstances.
Have you ever had a dog that has bitten someone?*
If yes please explain
Do all of your current pets get along with other animals? If no, please explain.
IMPORTANT NOTE
It is REQUIRED that all dogs in the home be spayed/neutered, current on yearly vaccines AND on a heartworm prevention year around. This information WILL BE verified before your application is moved to the next step in the adoption process. If there is a medical reason why these requirements are not met we will verify that with your veterinarian.
Do all of your pets receive regular veterinary care (at least yearly visits) and are they up to date on vaccines?*
Do all of your dogs receive a heartworm preventative year round?*
If yes, what Brand, if no please explain why. (no dogs please put N/A)*
Do you understand the importance of heartworm prevention and how heartworm is contracted? (Note this is NOT the same as flea protection)*
- Yes, I have pets and they are always protected against heartworm.
- No I do not, but would love to know more information to be sure I protect my future pets.
- I do not have pets, but I know the importance and will always have them on a heartworm prevention.
- I do not feel they need year round prevention.
Vet Clinic Info (Please list Name of clinic, address, & phone number where you obtain vaccines & heartworm prevention) If you do not have pets list N/A*
***Please note that by signing this application you are giving permission to contact your veterinarian to verify vaccination and heartworm preventative records. Lack of heartworm prevention and/or vaccination can result in your application being put on hold or not being processed.

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Pet Care Philosophy
What type of behavior in a dog would make you NOT want to adopt them?*
How will you correct behavioral issues?*
Do you understand that rescued bulldogs may have house training issues, especially at first?*
- Yes
- No
- This is not acceptable
Are you familiar with common bulldog health problems? Have you researched the breed?*
How much do you expect to pay per year to care for a bulldog? (General care and/or health issues) Do you have a plan in place to pay for unplanned medical emergencies?*
Who will care for your bulldog during vacations or overnight trips?*
Can someone in the home provide daily care when the primary care giver is away?*
Do you have an emergency plan to provide care for your pets if you have to be away suddenly? Please describe if so.*
What do you feel is the proper use of crates/kennels?*
Agreements/Understandings
Can all members of the household travel to the foster home to meet the prospective adoptee?*
- Yes
- No
- Maybe
Are you willing to take responsibility for a bulldog for the rest of its lifetime?*
Do you agree to allow a rescue volunteer to come to your home to preform a home inspection before and or after an adoption is complete?*
- Yes
- No
All Bulldogs adopted from us will be spayed/neutered before placement. Do you have any questions or reservations about this policy? If yes please explain.*
Please provide any additional information you would like us to know as well as any of our Bulldogs you may have an interest in.
AGREEMENT
I understand that dogs placed by KCEBR have been acquired, fed, and boarded; have received necessary medical care and vaccinations, and have been tested to be free of heartworms and contagious disease at the expense of KCEBR volunteers who receive financial reimbursement for expenses only through donations. I understand that I may be asked to give a donation to KCEBR to help with spaying/neutering and veterinary care of current and/or future rescued bulldogs. I understand that if, for any reason, I can no longer care for or keep the dog, I must return it directly to a KCEBR member, and I will sign all necessary papers for the surrender of the dog. The specific adoption amount is determined based on the individual dog’s age, health, and rehab requirements. I hereby make application to KCEBR to have my name added to an appropriate waiting list to be considered for giving a rescued bulldog a permanent home. I understand that my application may not be acknowledged unless or until I am being considered to adopt a particular bulldog and that it may be important for me to be available for an interview by phone and in person on short notice. By signing you agree to all conditions that apply to this application, you agree that all information is truthful and accurate. Failure to answer all questions fully can result in delay of your application process. Please review your application to ensure you have provided all required information.
Signature of Applicant*
Signature of Co-Applicant
Name
This field is for validation purposes and should be left unchanged.

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Co-Applicant Information

About You

Expectations for a Rescued Bulldog

Household Information

Lifestyle

PETS (Current & Past)

Pet Care Philosophy

Agreements/Understandings

AGREEMENT