Country Kennel Bully Rescue

******************ATTENTION*************************

If you are interested in a PUPPY MILL DOG please do not ask us if the dog is housebroke!  These dogs have lived for years in a wire cage without human contact!!!!!  Our first priority is to get these dogs used to human contact and to also get them in a healthy mental and physical state FIRST!  PLEASE READ THE PUPPY MILL TAB AT THE TOP OF THIS PAGE!

If you have found a dog that you are interested please fill out one of the forms below.  The first application is specifically for Pit Bulls and the second application is for all the other dog breeds that we have rescued.

Country Kennel Bully Rescue Adoption Application

For Pit Bulls

PLEASE READ CAREFULLY!

Thank you for taking the time to fill out our questionnaire.  The purpose of this application is to learn a little more about your family and home so that our organization can make the best possible match for both you and our bullies.  Our main concern is placing our animals in a compatible home with a family that will give them a LIFETIME commitment of love and proper care.  We realize some of the questions may seem too personal or strange to ask, but we have specific reasons for them based on previous experience in the adoption process.  This consultation process is designed to help us determine if the adoption is in the best interest for both the bullies and the adopter.  Please be aware that while completing this application does not bind you to adopt one of our animals, neither does it guarantee that we will place one of our bullies in your home at this time.  If you are interested in learning more about one of our rescues, please answer the questions honestly and thoroughly.

Some of our bullies may need extra time and patience to adjust to yet another new home.  Some may need housetraining or other types of training, and some may need a little extra love and patience.  All bullies, regardless of their background and history, go through an adjustment period when they go to a new environment.  There will be a period of a few days, weeks, or in some cases months during which your new bully's personality is emerging and growing while you get to know one another.  Please remember that this is a stressful time for an animal and hopefully we will be able to work together to make this a lifetime relationship for you and your bully.  You can call on us any time to help you in any way.

We reserve the right to refuse adoption to anyone for any reason.  A representative of Country Kennel Bully Rescue may conduct home visits prior to or following the adoption, and our group has the right to reclaim an animal following an adoption if unsuitable home conditions, misrepresentation of self, evidence of neglect, abuse or other mistreatment of the bullies are found on this visit.  Any animal adopted from Country Kennel shall be returned at any and all times, if no longer able to keep or no longer wanted.

IN ORDER TO BE CONSIDERED AS AN ADOPTER TODAY,YOU MUST

ü  Be 21 years of age or older

ü  Have identification showing your present address

ü  Have the knowledge and consent of your landlord

ü  Be willing to possibly have a rescue representative visit your home by appointment

ü  Be able and willing to spend the time and money necessary to provide training, medical treatment, and proper care for a dog for the entire life of that animal

Please initial here to show you have read and understand the process and guidelines.________________

Date_____________________

Name/Spouse’s name _____________________________________________________

Address:__________________________________________________________________

Phone number(s) and type(s)_____________________________________________________________________

Email___________________________________________________

Best way/time to contact you_______________________________

Is there a specific dog you are interested in adopting from us?  If yes, please indicate the dog’s name and tell us why this particular one.  If no, please tell us if there is anything specific you are looking for. _________________________________________________________________________

Occupation/Spouse’s Occupation________________________________________________________________

_________________________________________________________________________

Do you have children? If yes, what are their ages?_____________________________________________________

Is this the first time owning a bully breed?___________________________________________________________

What interests you in the breed?_________________________________________________________________________
_________________________________________________________________________

Please list the names and ages of the people living in the residence: _________________________________________________________________________
_________________________________________________________________________

Do you own or rent?______If you rent what is your landlord’s name and number?

________________________________________________________________________

Do you have a fenced in yard? If yes, please tell us the type of fence and how high it is.______________________

_________________________________________________________________________

What pets do you currently have in your household?  For each, please give us the following information: dog/cat, name, age, whether the animal is altered, and whether it is kept indoor/outdoor/both________________________________________

_________________________________________________________________________

Your veterinarian’s name, hospital, city, and phone number:

_________________________________________________________________________

_________________________________________________________________________

Reference #1: Please provide his/her name, phone number, (and email if possible)_________________________________________________________________________

Reference #2 _________________________________________________________________________

Do any family members have pet allergies? If so, please provide details regarding specifics and severity.

_________________________________________________________________________

Why have you decided to adopt a bully?_________________________________________________________________________

Will this be your first bully?_________________________________________________________________________

What other animals have you owned before?_________________________________________________________________________

_________________________________________________________________________

Have you ever: lost a pet, surrendered a pet to a shelter/rescue, given a pet away or placed a pet in another home?  If so, please explain. _________________________________________________________________________

_________________________________________________________________________

Have you had any puppies/dogs in your household within the past year with parvo, distemper, kennel cough, mange, or coccidia?  If so please explain how long ago, what treatment options were used, and the final outcome.

_________________________________________________________________________

Have your current or previous pets been kept up-to-date on annual vaccines and been tested for heartworm?____

Are your current pets on heartworm preventative? If so, what kind. ______________________________________

Is someone home during the day?___________ Longest number of hours expected to be gone at one time ______

What are the work hours of all household members? _________________________________________________________________________

Where will the pet be kept during the day and night _________________________________________________________________________

Who will be the bully's primary caretaker? __________________________________________________________

Please describe your exercise plan for your bully _________________________________________________________________________

_________________________________________________________________________

Describe your house-training method _________________________________________________________________________

_________________________________________________________________________

Are you willing to obtain a crate and crate train the bully, if necessary? ___________________________________

Are you willing to take the bully to basic obedience class, if necessary? ____________________________________

What would you do if the dog bit somebody? _________________________________________________________________________

_________________________________________________________________________

Excluding your death, what conditions or circumstances would cause you to give up an animal? ________________________________________________________________

_______________________________________________________________________

What arrangements have been made to ensure your pets will be cared for if something would happen to you if you were no longer able to care for them or in the event of your death?  (sorry have to ask)

_________________________________________________________________________( please be willing to provide contact information)

By checking YES, you agree to absolve Country Kennel Bully Rescue from any liability in the adopted bully and in this organization ____yes ____no

By checking YES, you agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where a bully breed's presence is illegal
____yes ____no

By checking YES, you agree to abide by all state/local leash laws.  You understand it is your responsibility to research and learn your state and local laws. ____yes ____no

After reading each line, please INTIAL.

____ Bully breeds are great escape artists especially if bored, it might take more than just a fence to keep your pet contained.

____ You should never leave your bully unattended with other pets.  Even with the help of socialization, this confident breed can be pushed to fight if sufficiently challenged by another dog

____ Crates should never be used for punishment.  Dogs are den animals – A crate is a den where they go to feel safe.

____ Bully breeds are very strong and are bred to have a high pain tolerance.  They need solid and sturdy collars that won’t break under tension.

PLEASE ADVISE!

Country Kennel does not guarantee the health of this animal.  We do routine vaccines, spays and neuters and anything else that to our knowledge might be wrong.  Some animals might have underlying health issues that we do not know about.  Please understand that we do the most we can with these animals with what limited resources we have.  Initial here if you have fully read and understand this statement _________

Please sign your name here

_________________________________________________________________

All of our bully breeds are microchipped under OUR name you will be required to sign a form that informs you of this policy on the day of adoption along with and adoption contract. 

 Application for all other dogs: