{"id":4290,"date":"2016-07-17T22:41:46","date_gmt":"2016-07-17T22:41:46","guid":{"rendered":"http:\/\/www.bullterrierrescue.org\/?page_id=4290"},"modified":"2021-01-15T03:01:31","modified_gmt":"2021-01-15T03:01:31","slug":"bull-terrier-rescue-inc-surrender-form","status":"publish","type":"page","link":"http:\/\/www.bullterrierrescue.org\/?page_id=4290","title":{"rendered":"Bull Terrier Rescue Inc. Surrender Form"},"content":{"rendered":"<p><strong>Bull Terrier Rescue Inc. Surrender Form<\/strong><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #ff0000;\"><em>Please complete this application by computer or laptop as submissions via phones and tablets are not being received. Thank you!<\/em><\/span><\/p>\n<p>* Denotes a Required Field<\/p>\n<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f4288-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F4290#wpcf7-f4288-o1\" method=\"post\" class=\"wpcf7-form init\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"4288\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.4.1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f4288-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<p>Your Name*<br \/>\n<span class=\"wpcf7-form-control-wrap your-name\"><input type=\"text\" name=\"your-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nStreet Address*<br \/>\n<span class=\"wpcf7-form-control-wrap Address\"><input type=\"text\" name=\"Address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"Address\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nCity*<br \/>\n<span class=\"wpcf7-form-control-wrap City\"><input type=\"text\" name=\"City\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"City\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nState*<br \/>\n<span class=\"wpcf7-form-control-wrap dropstate\"><select name=\"dropstate\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"AL\">AL<\/option><option value=\"AK\">AK<\/option><option value=\"AZ\">AZ<\/option><option value=\"AR\">AR<\/option><option value=\"BC\">BC<\/option><option value=\"CA\">CA<\/option><option value=\"CO\">CO<\/option><option value=\"CT\">CT<\/option><option value=\"DC\">DC<\/option><option value=\"DE\">DE<\/option><option value=\"FL\">FL<\/option><option value=\"GA\">GA<\/option><option value=\"HI\">HI<\/option><option value=\"ID\">ID<\/option><option value=\"IL\">IL<\/option><option value=\"IN\">IN<\/option><option value=\"IA\">IA<\/option><option value=\"KS\">KS<\/option><option value=\"KY\">KY<\/option><option value=\"LA\">LA<\/option><option value=\"ME\">ME<\/option><option value=\"MD\">MD<\/option><option value=\"MA\">MA<\/option><option value=\"MI\">MI<\/option><option value=\"MN\">MN<\/option><option value=\"MS\">MS<\/option><option value=\"MO\">MO<\/option><option value=\"MT\">MT<\/option><option value=\"NE\">NE<\/option><option value=\"NV\">NV<\/option><option value=\"NH\">NH<\/option><option value=\"NJ\">NJ<\/option><option value=\"NM\">NM<\/option><option value=\"NY\">NY<\/option><option value=\"NC\">NC<\/option><option value=\"ND\">ND<\/option><option value=\"OH\">OH<\/option><option value=\"OK\">OK<\/option><option value=\"OR\">OR<\/option><option value=\"PA\">PA<\/option><option value=\"RI\">RI<\/option><option value=\"SC\">SC<\/option><option value=\"SD\">SD<\/option><option value=\"TN\">TN<\/option><option value=\"TX\">TX<\/option><option value=\"UT\">UT<\/option><option value=\"VT\">VT<\/option><option value=\"VA\">VA<\/option><option value=\"WA\">WA<\/option><option value=\"WV\">WV<\/option><option value=\"WI\">WI<\/option><option value=\"WY\">WY<\/option><option value=\"NON-US\">NON-US<\/option><\/select><\/span><br \/>\nZip Code*<br \/>\n<span class=\"wpcf7-form-control-wrap Zip\"><input type=\"text\" name=\"Zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"Zip\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nPhone Number*<br \/>\n<span class=\"wpcf7-form-control-wrap tel-166\"><input type=\"tel\" name=\"tel-166\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nBest time to call:<br \/>\n<span class=\"wpcf7-form-control-wrap dropcall\"><select name=\"dropcall\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Morning\">Morning<\/option><option value=\"Afternoon\">Afternoon<\/option><option value=\"Evening\">Evening<\/option><\/select><\/span><br \/>\nYour Email*<br \/>\n<span class=\"wpcf7-form-control-wrap your-email\"><input type=\"email\" name=\"your-email\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nYour relationship to the dog?*<br \/>\n<span class=\"wpcf7-form-control-wrap Relationship\"><input type=\"text\" name=\"Relationship\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"Relationship\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p><strong>Identifying Information<\/strong><\/p>\n<p>Dog's name?*<br \/>\n<span class=\"wpcf7-form-control-wrap dogname\"><input type=\"text\" name=\"dogname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"dogname\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nColor?*<br \/>\n<span class=\"wpcf7-form-control-wrap color\"><input type=\"text\" name=\"color\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"color\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nIs the dog neutered\/spayed?*:<br \/>\n<span class=\"wpcf7-form-control-wrap dropneuter\"><select name=\"dropneuter\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nBirthdate\/Age?<br \/>\n<span class=\"wpcf7-form-control-wrap bday\"><input type=\"text\" name=\"bday\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"bday\" aria-invalid=\"false\" \/><\/span><br \/>\nWeight? (estimate if unknown)*<br \/>\n<span class=\"wpcf7-form-control-wrap weight\"><input type=\"text\" name=\"weight\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" id=\"weight\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><br \/>\nRegistered name?<br \/>\n<span class=\"wpcf7-form-control-wrap regname\"><input type=\"text\" name=\"regname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"regname\" aria-invalid=\"false\" \/><\/span><br \/>\nBreeder's name?<br \/>\n<span class=\"wpcf7-form-control-wrap breedname\"><input type=\"text\" name=\"breedname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"rbreedname\" aria-invalid=\"false\" \/><\/span><br \/>\nBreeder's address?<br \/>\n<span class=\"wpcf7-form-control-wrap breedaddress\"><input type=\"text\" name=\"breedaddress\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"breedaddress\" aria-invalid=\"false\" \/><\/span><br \/>\nDam's name?<br \/>\n<span class=\"wpcf7-form-control-wrap damname\"><input type=\"text\" name=\"damname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"damname\" aria-invalid=\"false\" \/><\/span><br \/>\nSire's name?<br \/>\n<span class=\"wpcf7-form-control-wrap sirename\"><input type=\"text\" name=\"sirename\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"sirename\" aria-invalid=\"false\" \/><\/span><br \/>\nDog's call registered name?<br \/>\n<span class=\"wpcf7-form-control-wrap dcregname\"><input type=\"text\" name=\"dcregname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"dcregname\" aria-invalid=\"false\" \/><\/span><br \/>\nRegistration number?<br \/>\n<span class=\"wpcf7-form-control-wrap regnum\"><input type=\"text\" name=\"regnum\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"regnum\" aria-invalid=\"false\" \/><\/span><br \/>\nAre registration papers available?<br \/>\n<span class=\"wpcf7-form-control-wrap droppapers\"><select name=\"droppapers\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\nDescribe the dog's ears<br \/>\n<span class=\"wpcf7-form-control-wrap dropear\"><select name=\"dropear\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Erect\">Erect<\/option><option value=\"Soft\">Soft<\/option><\/select><\/span><br \/>\nDescribe markings or scars?<br \/>\n<span class=\"wpcf7-form-control-wrap marks\"><input type=\"text\" name=\"marks\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"marks\" aria-invalid=\"false\" \/><\/span><br \/>\nType of identification*<br \/>\n<span class=\"wpcf7-form-control-wrap identification\"><select name=\"identification\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Tattoo\">Tattoo<\/option><option value=\"Microchip\">Microchip<\/option><option value=\"None\">None<\/option><\/select><\/span><\/p>\n<p><strong>Medical Information<\/strong><\/p>\n<p>Does your dog have any allergies, medical conditions, and\/or required medications?*<br \/>\n<span class=\"wpcf7-form-control-wrap medical\"><select name=\"medical\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, please describe<br \/>\n<span class=\"wpcf7-form-control-wrap meddesc\"><textarea name=\"meddesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"meddesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nDescribe the overrall mental and physical condition of the dog*<br \/>\n<span class=\"wpcf7-form-control-wrap conddesc\"><textarea name=\"conddesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"conddesc\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nIs the dog current on all vaccinations and heartworm treatment?*<br \/>\n<span class=\"wpcf7-form-control-wrap vax\"><select name=\"vax\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nVeterinarian name<br \/>\n<span class=\"wpcf7-form-control-wrap vetname\"><input type=\"text\" name=\"vetname\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"vetname\" aria-invalid=\"false\" \/><\/span><br \/>\nVeterinarian hospital<br \/>\n<span class=\"wpcf7-form-control-wrap vethosp\"><input type=\"text\" name=\"vethosp\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"vethosp\" aria-invalid=\"false\" \/><\/span><br \/>\nVeterinarian hospital address<br \/>\n<span class=\"wpcf7-form-control-wrap vethospadd\"><input type=\"text\" name=\"vethospadd\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"vethospadd\" aria-invalid=\"false\" \/><\/span><br \/>\nVeterinarian phone number<br \/>\n<span class=\"wpcf7-form-control-wrap vetphone\"><input type=\"text\" name=\"vetphone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"vetphone\" aria-invalid=\"false\" \/><\/span><br \/>\nIs the dog deformed in any way?*<br \/>\n<span class=\"wpcf7-form-control-wrap deform\"><select name=\"deform\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\nIf so, please describe<br \/>\n<span class=\"wpcf7-form-control-wrap defdesc\"><textarea name=\"defdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"defdesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nIs the dog deaf?*<br \/>\n<span class=\"wpcf7-form-control-wrap deaf\"><select name=\"deaf\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIs the dog blind?*<br \/>\n<span class=\"wpcf7-form-control-wrap blind\"><select name=\"blind\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span><br \/>\nDescribe any hearing or vision problems the dog may have<br \/>\n<span class=\"wpcf7-form-control-wrap hearvis\"><textarea name=\"hearvis\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"hearvis\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nWhat brand of dog food is currently being fed to the dog?<br \/>\n<span class=\"wpcf7-form-control-wrap dogfood\"><input type=\"text\" name=\"dogfood\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"dogfood\" aria-invalid=\"false\" \/><\/span><br \/>\nHow much per day?<br \/>\n<span class=\"wpcf7-form-control-wrap foodqty\"><input type=\"text\" name=\"foodqty\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"foodqty\" aria-invalid=\"false\" \/><\/span><br \/>\nDescribe the condition of the dog's teeth*<br \/>\n<span class=\"wpcf7-form-control-wrap teeth\"><textarea name=\"teeth\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"teeth\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nAny other medical related comments?<br \/>\n<span class=\"wpcf7-form-control-wrap medcomm\"><textarea name=\"medcomm\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"medcomm\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p><strong>Temperament Information<\/strong><\/p>\n<p>Describe the dog's temperament?*<br \/>\n<span class=\"wpcf7-form-control-wrap temper\"><textarea name=\"temper\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" id=\"temper\" aria-required=\"true\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nHas the dog bitten anyone, or attempted to bite anyone?*<br \/>\n<span class=\"wpcf7-form-control-wrap bite\"><select name=\"bite\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, describe<br \/>\n<span class=\"wpcf7-form-control-wrap bitedesc\"><textarea name=\"bitedesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"bitedesc\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p>Is the dog:<\/p>\n<p>Good with other dogs?*<br \/>\n<span class=\"wpcf7-form-control-wrap withdogs\"><select name=\"withdogs\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with cats?*<br \/>\n<span class=\"wpcf7-form-control-wrap withcats\"><select name=\"withcats\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with small animals?*<br \/>\n<span class=\"wpcf7-form-control-wrap smanml\"><select name=\"smanml\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with men?*<br \/>\n<span class=\"wpcf7-form-control-wrap withmen\"><select name=\"withmen\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with women?*<br \/>\n<span class=\"wpcf7-form-control-wrap withwomen\"><select name=\"withwomen\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with young children?*<br \/>\n<span class=\"wpcf7-form-control-wrap youngchild\"><select name=\"youngchild\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nGood with older children?*<br \/>\n<span class=\"wpcf7-form-control-wrap oldchild\"><select name=\"oldchild\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nProtective of food\/toys?*<br \/>\n<span class=\"wpcf7-form-control-wrap protective\"><select name=\"protective\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, describe<br \/>\n<span class=\"wpcf7-form-control-wrap protdesc\"><textarea name=\"protdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"protdesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nA digger?*<br \/>\n<span class=\"wpcf7-form-control-wrap digger\"><select name=\"digger\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nAn excessive barker?*<br \/>\n<span class=\"wpcf7-form-control-wrap bark\"><select name=\"bark\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nA climber?*<br \/>\n<span class=\"wpcf7-form-control-wrap climb\"><select name=\"climb\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nA chewer?*<br \/>\n<span class=\"wpcf7-form-control-wrap chew\"><select name=\"chew\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><\/p>\n<p>Has the dog fought with other dogs?*<br \/>\n<span class=\"wpcf7-form-control-wrap fought\"><select name=\"fought\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, describe<br \/>\n<span class=\"wpcf7-form-control-wrap foughtdesc\"><textarea name=\"foughtdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"foughtdesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nHas the dog ever injured or killed another animal?*<br \/>\n<span class=\"wpcf7-form-control-wrap inj\"><select name=\"inj\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, describe<br \/>\n<span class=\"wpcf7-form-control-wrap injdesc\"><textarea name=\"injdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"injdesc\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p><strong>Training Information<\/strong><\/p>\n<p>When on a leash, the dog:*<br \/>\n<span class=\"wpcf7-form-control-wrap leash\"><select name=\"leash\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Pulls\">Pulls<\/option><option value=\"Heels\">Heels<\/option><option value=\"Won&#039;t Walk\">Won&#039;t Walk<\/option><\/select><\/span><br \/>\nIs the dog obedience trained?*<br \/>\n<span class=\"wpcf7-form-control-wrap obey\"><select name=\"obey\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIs the dog housebroken?*<br \/>\n<span class=\"wpcf7-form-control-wrap hb\"><select name=\"hb\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, how does the dog communicate this?<br \/>\n<span class=\"wpcf7-form-control-wrap hbdesc\"><textarea name=\"hbdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"hbdesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nPlease check the type of housing the dog has lived in*:<br \/>\n<span class=\"wpcf7-form-control-wrap housing\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"housing[]\" value=\"Indoors\" \/><span class=\"wpcf7-list-item-label\">Indoors<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"housing[]\" value=\"Basement\" \/><span class=\"wpcf7-list-item-label\">Basement<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"housing[]\" value=\"Garage\" \/><span class=\"wpcf7-list-item-label\">Garage<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"housing[]\" value=\"Fenced Yard\" \/><span class=\"wpcf7-list-item-label\">Fenced Yard<\/span><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap housing2\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><input type=\"checkbox\" name=\"housing2[]\" value=\"Kennel Run\" \/><span class=\"wpcf7-list-item-label\">Kennel Run<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"checkbox\" name=\"housing2[]\" value=\"Outside Tied Up\" \/><span class=\"wpcf7-list-item-label\">Outside Tied Up<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"checkbox\" name=\"housing2[]\" value=\"Outside Loose\" \/><span class=\"wpcf7-list-item-label\">Outside Loose<\/span><\/span><\/span><\/span><br \/>\nIs the dog destructive of property?*<br \/>\n<span class=\"wpcf7-form-control-wrap dest\"><select name=\"dest\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, give details?<br \/>\n<span class=\"wpcf7-form-control-wrap destdesc\"><textarea name=\"destdesc\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"destdesc\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nIs the dog crate trained?*<br \/>\n<span class=\"wpcf7-form-control-wrap crate\"><select name=\"crate\" class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><option value=\"Unknown\">Unknown<\/option><\/select><\/span><br \/>\nIf so, how many hours has the dog been crated per day?<br \/>\n<span class=\"wpcf7-form-control-wrap cratehrs\"><select name=\"cratehrs\" class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\"><option value=\"\">---<\/option><option value=\"&lt;2 hours\">&lt;2 hours<\/option><option value=\"&lt;4 hours\">&lt;4 hours<\/option><option value=\"&lt;6 hours\">&lt;6 hours<\/option><option value=\"&lt;8 hours\">&lt;8 hours<\/option><option value=\"&gt;8 hours\">&gt;8 hours<\/option><\/select><\/span><br \/>\nDoes the dog have a favorite toy, game, or food? If so, what is it?<br \/>\n<span class=\"wpcf7-form-control-wrap favorite\"><input type=\"text\" name=\"favorite\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"favorite\" aria-invalid=\"false\" \/><\/span><br \/>\nHow does the dog react to riding in the car?<br \/>\n<span class=\"wpcf7-form-control-wrap carride\"><input type=\"text\" name=\"carride\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"carride\" aria-invalid=\"false\" \/><\/span><br \/>\nWhere does the dog spend its days?<br \/>\n<span class=\"wpcf7-form-control-wrap daytime\"><input type=\"text\" name=\"daytime\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"daytime\" aria-invalid=\"false\" \/><\/span><br \/>\nWhere does the dog spend its nights?<br \/>\n<span class=\"wpcf7-form-control-wrap nighttime\"><input type=\"text\" name=\"nighttime\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" id=\"nighttime\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Why are you surrendering the dog?<br \/>\n<span class=\"wpcf7-form-control-wrap surrender\"><textarea name=\"surrender\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"surrender\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nDescribe your ideal home for the dog?<br \/>\n<span class=\"wpcf7-form-control-wrap idealhome\"><textarea name=\"idealhome\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"idealhome\" aria-invalid=\"false\"><\/textarea><\/span><br \/>\nAny additional information you're like to share?<br \/>\n<span class=\"wpcf7-form-control-wrap info\"><textarea name=\"info\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" id=\"info\" aria-invalid=\"false\"><\/textarea><\/span><\/p>\n<p><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Bull Terrier Rescue Inc. Surrender Form Please complete this application by computer or laptop as submissions via phones and tablets are not being received. Thank you! * Denotes a Required Field &hellip; <a class=\"more-link\" href=\"http:\/\/www.bullterrierrescue.org\/?page_id=4290\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/pages\/4290"}],"collection":[{"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4290"}],"version-history":[{"count":3,"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/pages\/4290\/revisions"}],"predecessor-version":[{"id":24581,"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=\/wp\/v2\/pages\/4290\/revisions\/24581"}],"wp:attachment":[{"href":"http:\/\/www.bullterrierrescue.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}