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BEFORE YOU CLICK SUBMIT!
FAX: 254-453-6408
If you would prefer to fax the B.A.R.K. Adoption Application to 254-753-6408, please complete the form, view in Print Preview for accuracy and then print.
EMAIL DIRECT FROM HERE
Please complete the B.A.R.K. Adoption Application and click submit at the end.
In order to be considered as an adopter today, you must:
• Be 21 years or older.
• Have a valid driver's license or other photo ID and identifcaiton with your present address.
• Be able to verify that you can have a pet where you live if renting or living with someone else.
• Be willing and able to spend the time and money necessary to provide the proper care for a pet
for the lifetime of the animal you adopt.
ALL ADOPTERS MUST READ...
By submitting this form, you certify that the information contained in this application is true and correct. Any false information may result in nullifying this adoption. You further understand that the animals at B.A.R.K. Rescue Kennel are living beings entrusted to our care. It is our responsibility to find the best possible homes for them. Therefore, we have the right to approve or deny any adoptions as we see fit.
I am interested in adopting:
Cat
Dog
Pet's Name:
Name:
Email:
Name of Spouse/Partner:
Phone:
Cell:
Work Phone:
Address:
City:
State:
Zip Code:
Own or Rent?
Own
Rent
Home Type:
House
Apartment
Mobile Home
Other
If Apartment, Complex Name:
Manager/Landlord's Name:
Phone:
Amount of Pet Deposit Required:
Paid?
Yes
No
What restrictions on the size/number of pets
allowed in your subdivision or complex?
What do you consider valid reasons
for giving up a pet (check all that apply)?
Moving
Fleas
Destructive
Grew Too Big
Digging
Chewing
Vet Bills
Unable To House Train
Having A Baby
Barks Too Much
Litter Box Problems
Too Rough With Children
Other
Do you live with family?
Yes
No
If so, whom?
Do you live with a non-relative?
Yes
No
If so, whom?
Total Number In Household:
Number of Children At Home
Their Ages
If you do not have a child, do children
visit your home frequently?
Yes
No
Do all adults in the household agree
to getting a pet?
Yes
No
Does anyone in the household
have pet allergies?
Yes
No
Does Property Have?
Pool
Doggy Door
Fenced Yard
Type/Height of Fence:
Size of Yard:
Number and description of current pets:
Name of Veterinarian:
Number and description of previous pets
in the past 5 years:
What happened to your last pet?
Have you ever had to give up a pet?
Yes
No
If so, to whom and why?
What long do you expect to keep this pet?
Do you plan to move within the next 12 months?
Yes
No
If you had to move, what would you do with this pet?
How did you hear about B.A.R.K.?
Have you adopted from B.A.R.K. before?
Yes
No
If so, when and what?
I certify that all information is true and correct?
Yes
No