APPLY for one of Our Listed Available Rescues or request surrender
Todays Date
Desired Bully
Or surrender name
Last, First Name
Street Address
State
City
Zip Code
Telephone
House number please
Email Address
Type, House, Condo, Apartment
Dwelling
Yard and Fence
Type please
describe
Own or Rent?
Landlord's
permission?
Why do you want
an English Bull
Terrier?
Do you have
children and what
are ages?
What other
animals live at
residence list all.
Understand
Adoption Fee?
Will you crate?
What will you do if
the adoption does
not work out?
Adoption is final,
do you realize this?
We will try to help place your dog if you
decide after to surrender it back.
Use this field to ask
us questions or
comment on
anything. We will
retain your
information until you
notify us that you no
longer are looking for
a dog. We do not
share your data with
outside parties for the
purposes of
marketing. We do
partner with other
rescues to help you
find you your special
dog.
Do you
understand this is
only an initial
contact
application?
This form was created to obtain initial information on you and is a work in
progress.  It is important to be as honest as you can be in filling it out.

This is an initial contact form. Once it is reviewed you will be contacted and
the

Thank you for your
interest in a English Bull
Terrier Rescue.

We appreciate you and
your commitment to
caring for us!
Use this form to apply to us and then when a dog comes in that is just right for you that part will
be out of the way. If you need to surrender your dog use this form just explain to us the
circumstances of why the dog needs to be surrendered.

If you must surrender a dog
you can use this same
application.

All dogs are
spayed/neutered, chipped or
have tats.

All shots are given, de
worming and we will apply
flea and tick preventative
medication to get you
started.