In order to help you find your perfect pet, we ask that you complete this form. Please answer all questions completely and honestly. The information you provide will help us match you with the most compatible pet to fit your home and lifestyle. If you are approved to adopt one of our animals, this form will become part of your adoption contract. In order to be considered as an adopter, you must:

• Be at least 18 years old.
• Have a valid driver's license and identification showing your current address.
• Be able to verify that pets are allowed where you live, if renting or otherwise no the property owner.
• You must be physically, financially and emotionally able to care for an animal.
• Allow us to visit your home prior to the adoption and at least once before the end of a three to four week trial period. We reserve the right to approve or deny adoption as we see fit.

Adoption Application

First Name Middle Initial   Last Name

Address: City State Zip

Phone:  Home  Work   Cell

Are you over 21 years old? Yes  No     Drivers License #   State

Email address

Which Barking Mutt pet are you interested in?

Are all family members in agreement about getting a new pet?  Yes    No

Do you Own  or  Rent  your home?

Is your home a House   Apt.  Condo   Mobile Home    Other (explain)

    If you rent:

    Are pets allowed where you live? Yes  No.  Is a pet deposit required? Yes  No.

    Is there a weight or size limit? Yes  No.  If yes, explain

    May we contact your Manager/Landlord?  Yes  No

    Mgr/Landlord name   Phone number

How long at current address? years  months  Are you planning to move in the next year? Yes  No

Total number of adults in household   Number of children   Ages

Do children visit your home? Yes  No  How often?  

Pet Care and Environment

How often will your pet be left home alone?   Number of hours?

Where will your pet be kept when you're not at home? Inside Outside Crated Other

Where will this pet be kept most of the time? Totally inside Mostly inside Mostly outside Totally outside

How active are you and your family? Very Reasonably Not very

Do you want to only enjoy your dog at home, or would you like to take it places like the park, shopping, vacation, etc?

    Explain

How do you plan to housetrain your pet if it is not already housebroken?

    Paper Outside Crate Litter Box   Other

Does your home have a: Pool Doggy Door Fenced yard?

Type of fence Wood Chain Link Other.      Height feet

Size of yard   Shade trees/shelter from elements

Where will this pet stay during the day?

Where will this pet stay at night?

Do you plan to obedience train your dog? Yes No    By whom? Yourself Professional Trainer

If this dog develops behavior problems (chewing, digging, etc.) what measures will you take?

   

If your pet suffers a serious but treatable illness or injury, how much money would you be willing to spend to save his/her life?

    $100 $250 $500 $1000 Unlimited

Pet History

Do you currently have a pet(s)? Yes No

Is pet a Dog Cat other - Breed Age Sex    Altered? Yes No

    How long have you owned this pet?

Is pet a Dog Cat other - Breed Age Sex   Altered? Yes No

    How long have you owned this pet?

Is pet a Dog Cat other - Breed Age Sex   Altered? Yes No

    How long have you owned this pet?

Tell us about your past pet(s) and what happened to it/them:

   

May we contact your veterinarian for the purpose of obtaining a reference for the care provided your animals? Yes No

Veterinarian's name Phone Number

Please Provide Two (2) Personal References

Name Phone number

Name Phone number

Please Read and Check If You Agree:

1. You understand that this animal is to be adopted as a pet and is not to be kept kenneled or chained outside.

2. You understand that there is a four week trial period, during which we or you may decide that the adoption will not work out and that the animal must be returned to to Barking Mutt.

3. You understand that if you ever must give up this dog, it must be returned to Barking Mutt Animal Welfare Society and will not be turned in to any other shelter, rescue or individual without our express written permission.

4. You agree to allow a representative of Barking Mutt to inspect the home and yard environment, before the adoption process begins and at least once again before the trial period is ended.

5. You understand we cannot guarantee our pets are housebroken.

6. You understand that although we will tell you everything we know about the pet, we cannot guarantee temperament and/or behavior.

7. You understand that if the information provided on this application is found to be untrue/incorrect, the adoption contract will be deemed null and void and You agree to allow an agent of Barking Mutt Animal Welfare Society to remove the animal from the premises occupied by you, and entry shall not constitute trespass.

8. You certify that the information provided on this application is true and correct.