Adoption Application

**IMPORTANT! PLEASE READ BEFORE YOU APPLY**: 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! We are not a shelter (we don't have a facility you can visit), we are a foster-based group. Prospective adopters meet foster dogs by 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. Since we don't have a facility/building, any needy dog we hope to help must have an available foster home to go to; so we don't "hold" (board) dogs who have approved families selected. 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 and homes to welcome a dog in need. Please consider that adopting a dog is an awesome, life-changing, long-term commitment. Please do not apply to adopt if you aren't sure you're ready for the responsibility; 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 of your approval. *

PLEASE READ ABOVE AND INITIAL

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

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? *

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

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

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 (NexGard) Yes, flea collar Yes, topical

What brand(s) of food do you feed your current pet(s) (or plan to 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? *

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

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) *

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: *

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 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? *

How would you discourage any unwanted behaviors in your adopted 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...?

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 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

Name

First Name Last Name

Date

Adoption Application

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: