Adoption Application

Adoption Application

Bark Bark Wag Dog Rescue
**PLEASE BE SURE YOU LIVE IN OUR COVERAGE AREA BEFORE YOU APPLY!!**

Go to barkbarkwag.org, click on "let's get started", then click on the MAP at top of page. WE REQUIRE AN 'IN-PERSON' HOMEVISIT WITH ONE OF OUR TRAINED VOLUNTEERS (WE DO NOT DO "VIRTUAL"/VIDEO HOMEVISITS)--this is not possible for families outside our service area!**
Please review information about vetting, adoption process and costs, which is also found on the "let's get started!" page.
**IMPORTANT--PLEASE READ**:

Please initial each section to acknowledge you've read it/understand.
Bark Bark Wag is a small, 501(c)3 dog rescue run entirely by volunteers with jobs, families & animals of our own. We begin processing your application as soon as we receive it, so please do not apply to adopt if you aren't sure you're ready for the responsibility, or if everyone in your household is not in agreement about the possibility of adoption! *
Please initial to acknowledge you understand
We are a foster-based rescue, NOT a shelter (we do not have a facility you can visit). Prospective adopters meet foster dogs by invitation/appointment *only*, AFTER our 3-step adoption process has been completed and the application approved. All members of the household (including dogs) must travel to the foster's home (or other agreed-upon location) to meet the dog to be adopted, and applicant is invited to/expected to adopt and take their new dog home at that time if all goes well with the meet & greet. *
Please initial to acknowledge you understand
Our foster families can't "hold" (board) dogs for more than a few days while scheduling a "meet & greet" with an approved family; any needy/urgent dog we hope to help must have an open/available foster home to go to, since we don't have a facility/building. We cannot meet adopters multiple times; we strive to be respectful of the time constraints of our foster families, who kindly volunteer their time & open their hearts/homes to welcome a dog in need. *
Please initial to acknowledge you understand
Please consider that adopting a dog is an awesome, life-changing, long-term commitment. Please do not apply to adopt if you are about to leave on vacation or a business trip; if everyone living in your household will not be available to meet the dog within a few days (should you be selected as the "best fit" family for the dog); or if you are otherwise unable to adopt within several days, if your application is approved. *
Please initial to acknowledge you understand
Full Name: *

First Name Last Name
Age (our minimum adoption age is 23): *
Street Address: *
City: *
State: *
Zipcode: *
Email Address: *
Main Contact Number: *

- Area Code Phone Number
Alternate Contact Number:

- Area Code Phone Number
Place of Employment: *
How many people live in the home? *
Please list the NAME, AGE and RELATIONSHIP of each person: *
i.e., David, husband--45, Susie, wife--39, Kate, friend--30, etc.
`Does anyone living in the house have medical or allergy conditions? If yes, please explain: *
Is everyone living in the house in agreement with adopting a dog? *

Yes No
DESIRED DOG INFO:
Are you currently working with any other rescue(s)? If so, which one(s)? Please list by name. *
Name of the dog you are applying for: *
Any other dog(s) you may be interested in? *
Describe your ideal dog -- age, gender, breed -- please be specific: *
Why do you want to adopt THIS dog? What makes you the best person/family to adopt him/her? *
DESCRIBE YOUR LIVING SITUATION:
Do you: *

Own Live with Parents Rent
If you own, please give email address & phone number of homeowners' association (if applicable); if you rent, please give landlord's email address & phone number: *
Do you live in: *

house condo apartment townhouse mobile home
Does anyone smoke in the house? *

No (nonsmoking) Garage only Yes Basement only Outside only
Is the yard fenced? (Bark Bark Wag does not require fencing for adoption) *

Yes No
If NO, how do you plan to give your dog a potty/bathroom break? *
If YES, please describe fencing material (wood, chain link, etc.) and height: *
Is there a gate to the yard, and if so, does it lock?

Yes No
Is there a doggie door? *

Yes No
ABOUT YOUR CURRENT PETS:

Please provide info on ALL pets currently living in your home (type "N/A" as needed)
1. Name, type/breed, sex, age: *
Up-to-date on: *

Vaccines Heartworm test Spayed/Neutered Heartworm prev. N/A
2. Name, type/breed, sex, age: *
Up-to-date on: *

Vaccines Heartworm test Spayed/Neutered Heartworm prev. N/A
Please list any additional pets and their info here (name, type/breed, sex, age) *
Up-to-date on: *

Vaccines Heartworm test Spayed/Neutered Heartworm prev. N/A
How does a dog get heartworm disease? How can you prevent it? *
Do you plan to use flea/tick prevention for your dog? *

No Yes, oral (i.e., NexGard) Yes, flea collar Yes, topical
What brand(s) of food do you feed your current pet(s)? IF NO CURRENT PET, what brand of food will you feed a newly adopted pet? *
Where do your current pet(s) live? (inside, outside, please explain): *
Is your pet outdoors unattended at any time? If so, for how long? *
If you have a dog now, has he/she completed a basic manners/obedience training class of any kind? *

Yes No
Please list any other training you have participated in with your current dog, if applicable:
What kind of exercise/playtime does your current dog get, if you have one? *
VETERINARIAN INFO:

**PLEASE NOTE: In order to continue processing your application, we will contact your current & prior veterinarian(s) ASAP. **THE PERSON WHOSE NAME THE VET RECORDS ARE UNDER SHOULD CALL THE VET ASAP TO GIVE THEM PERMISSION TO SPEAK WITH US, SO YOUR APPLICATION PROCESSING IS NOT DELAYED -- THANK YOU!**
CURRENT VET INFO: Please list the vet clinic's name, city & state *
CURRENT VET INFO: Please list the vet clinic's phone number: *

- Area Code Phone Number
ANY OTHER CURRENT VET(S): Please list the vet clinic's name, city & state *
Please list any additional vet clinic's phone number: *

- Area Code Phone Number
PAST VET INFO: Please list the vet clinic's name, city & state: *
PAST VET INFO: Please list the vet clinic's phone number: *

- Area Code Phone Number
ABOUT YOUR PAST/PREVIOUS PETS:

Please provide info on pets you've had in your family in the past 10 years:
PLEASE LIST ALL PAST PETS HERE -- Name, type/breed, age, sex: *
What happened to each of the previous pets? Please be specific: *
Where did your pet(s) live? (inside, outside, please explain) *
What are your feelings on shock collars? Have you ever used one on a dog? Do you plan to use one on an adopted dog? *
Were they all up-to-date on vaccinations? *

Yes No
Were they all up-to-date on heartworm tests & heartworm preventative? *

Yes No
Were they all spayed/neutered? *

Yes No
Have you ever given away a pet? a) adopted from a rescue and returned; b) surrendered (to a shelter, humane society, etc.); or c) euthanized a dog? Please be specific: *
CARE OF YOUR ADOPTED DOG:
Where will the dog routinely live? (inside, outside, please explain): *
How many hours a day during each WEEKDAY will the dog be left alone? *
Where will the dog stay when you are not at home? *

Crate Free roam of house Gated into an area Doggie Daycare
Is the dog allowed on furniture? *

Yes, all furniture Yes-only some No
Where will the dog sleep? *

In/on humans' bed Dog bed, bedroom Crate, bedroom Dog bed, sep. room Crate, sep. room Wherever he/she likes
Will your pet be outdoors unattended at any time? If so, for how long? *
If your new dog/pup is not housebroken, HOW will you train him/her? *
What activities/type of exercise will the dog get? *

Walks Jogging/Running Play with toy/ball Dog Park Doggie Daycare
Are you able & willing to exercise your dog regularly, on a daily basis? *

Yes No
Do you plan to take your dog/puppy through a basic manners/puppy class? (Classes are as much for the new family as they are for the dog, in helping teach everyone to communicate clearly with each other). *

Yes No
How much time are you prepared to allow your adopted dog to adjust to his/her new environment and routines, and for you to adjust to your adopted dog? *

Up to a week 1-3 mos. 1-3 weeks 3-6 mos. 4 weeks As long as it takes
What behaviors are NOT acceptable by your own (or others') kids around the family dog? *
Who will be responsible for the dog in your absence? (business travel, holidays, etc.) *

Friend or family Boarding Kennel Vet Clinic Petsitter
If a job or family situation forced you to move, what would you do with your pet(s)? *

Return to rescue To family/friend Take to shelter Craigslist or FB Bring with me/us
Please answer honestly: Are there any reason(s) that would cause you to give up your dog? *
Are there any behaviors you are NOT WILLING to work with your dog on, now or in future? *

Excessive barking Resource guarding Housebreaking Too active/playful Counter surfing Not playful enough Escaping Destructive chew Pulling on leash Digging Jumping up
How would you discourage any unwanted behaviors in your adopted dog? *

Yell at the dog Put dog into crate Put dog outside Move problem item Put dog in diff rm. Hit or spank dog Squirt dog w/H20 Pos. reinforcement Use known trainer Redirect Clicker training Return the dog
Have you ever been ordered to relinquish ownership of animals due to cruelty or neglect, or been convicted of animal cruelty? *

Yes No
Thank you for your interest in a Bark Bark Wag dog!! Is there anything else you'd like us to know when considering your application...?
What You Should Know
IMPORTANT: Submitting an application does not guarantee an animal will be adopted to you/your family; nor does it obligate you to adopt. We reserve the right to deny any application without explanation. We do NOT work on a "first come, first served" basis -- we fully screen every application, and select families for each of our dogs based on where they will fit best and be happiest. Our adoption contract states that your adopted dog must be returned to Bark Bark Wag Dog Rescue, Inc. if you are no longer able to care for him/her.

Dogs require some or all of the following vaccines/tests EVERY YEAR for the rest of their lives: Heartworm test (heartworm is transmitted to dogs through the bite of an infected mosquito); monthly/year-round heartworm pills (i.e. Heartgard); DHPP (preferred) or DHLPP (distemper, hepatitus, parvovirus, leptospirosis); Rabies (1 year or 3 year vaccines); Bordatella (kennel cough); and Lyme (to protect against Lyme disease, transmitted to dogs by ticks). The costs for these vaccines/tests can be $200 or more a year, per animal.

These costs, along with food; groomer visits; petsitters/kennel stays while you are traveling; and any other illnesses or injuries -- and the cost of bringing an animal into your family can be as much as $500 or more/year, per animal. Please consider this before making the decision to bring a new animal into your home and family.

Bark Bark Wag's adoption fees include age-appropriate vaccines; heartworm tests and fecal-checks; microchipping; spay/neuter (unless the dog is younger than 6 mos. of age); and a health check by a licensed veterinarian. We cannot guarantee the future health of any of our animals--rescued dogs have unknown medical (and behavioral) histories. All fees are used toward our mission of rescuing dogs from unsafe situations; providing them with any/all needed vet care; and finding them fully-screened and loving homes... thereby preventing unnecessary euthanasia or suffering.

We cannot guarantee the age/breed of our rescued dogs. We depend on our veterinarians to help us make the best determination on age/breed for all of our dogs; unless we receive written documentation from the shelter where the dog was surrendered. We make every effort to process new applications as quickly as possible; please understand that we are all volunteers with jobs, pets, and families. We appreciate your patience & support for Bark Bark Wag!
Please enter your email address to acknowledge that you've seen and read the "What You Should Know" section: *
example@example.com
I understand that:

Completion of this application in no way guarantees adoption of any dog. Furthermore, any falsification of information will result in the immediate denial of this application. By signing (electronically), I declare that I am at least 23 years of age.
Name

First Name Last Name
Date

- Month - Day Year
Date
Should be Empty:

Adoption Application

**IMPORTANT--PLEASE READ**:

DESIRED DOG INFO:

DESCRIBE YOUR LIVING SITUATION:

ABOUT YOUR CURRENT PETS:

VETERINARIAN INFO:

ABOUT YOUR PAST/PREVIOUS PETS:

CARE OF YOUR ADOPTED DOG:

What You Should Know

I understand that:

IMPORTANT--PLEASE READ: