BAARC'S Adoption Application
All questions must be answered, if something doesn't apply to you please mark N/A.
BAARC reserves the right to perform a home inspection prior to Adoption. BAARC reserves the right to approve or deny any adoption for any reason. Do you understand and agree to the above notice? You must be at least 18 years of age to apply. *
Animal's Name you're applying for
Your answer
Contact Information
Full Name *
Your answer
Date of Birth *
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Occupation: *
Your answer
Address: *
Your answer
How long at this address? *
Your answer
Daytime Phone *
Your answer
Cell Phone
Your answer
Email address *
Your answer
Family & Housing
How many adults are there in your family (their relationship to you)? *
Your answer
How many children (ages)? *
Your answer
What type of home do you live in single family, town home, apartment, farm, etc.? *
Your answer
Please describe your household: *
Required
If you rent, please give the rules governing pets and the landlord’s name and number.
(By providing this information you are allowing BAARC to contact your landlord please inform them of this call so they will speak with us)
Your answer
Does anyone in the family have a known allergy to animals? *
Your answer
Is everyone in agreement with the decision to adopt a pet? *
Do you have time to provide adequate care and love? *
Other Pets
Do you understand that all pets must be up to date on vaccines and altered(unless medical reason) in order to be considered for adoption from BAARC? *
List all other pets. Please specify type, name and number of pets? *
Your answer
Are these pets up to date on vaccines? *
Are these pets spayed/neutered? If not. why? *
Your answer
Have you ever surrendered a pet? If so, why? *
Your answer
Have you ever had a pet euthanized? If so, why? *
Your answer
How do you discipline your pets and why? *
BAARC does encourage all adopters to take training sessions with their new dog.
Your answer
Veterinarian
Do you have a regular veterinarian? *
(Providing BAARC with this information you are allowing BAARC to call your vet. Please call your vet and ask them to authorize the release of information to BAARC)
Veterinarian’s name: *
Your answer
Clinic Name & Address *
Your answer
Clinic Phone: *
Your answer
About the Dog You Wish to Adopt
Where will the dog spend the day? (Describe) *
Your answer
Where will the dog spend the night? (Describe) *
Your answer
Number of hours (average) dog will spend alone? *
Your answer
Who will have primary responsibility for this dog's daily care? *
Your answer
Who will have financial responsibility for this dog? *
Your answer
Do you agree to provide regular health care by a Licensed Veterinarian? *
Do you agree to properly license your pet and follow all local and state regulations regarding pet ownership and control? *
Do you agree to keep the dog as an indoor dog? *
When the dog goes out, how do you plan to supervise it? *
Your answer
Do you have a Fenced yard? --- and/or Walk on leash? *
Your answer
Do you agree to contact BAARC if you can no longer keep this dog? *
Are you be willing to let a representative of BAARC visit your home? *
Personal Refrences
Please list two people who are familiar with both you and your pets. *
Name, Address, Phone Number, Relationship (relative, neighbor, friend, etc.)
Your answer
Application Certification
Applicant’s Signature: *
This certifies that the information contained in this application is true and complete. Through my signature below, I confirm that I agree to cooperate in the adoption process by providing medical care, training, and pet related amenities as recommended by BAARC. Further, in the event that BAARC places a dog in my household, I agree not to transfer that dog to any third party; but rather I will return the dog to BAARC in the event I can no longer retain it.
Your answer
Date *
Your application will be reviewed by BAARC volunteer. Adoption is conditioned upon payment of the adoption fee. (this fee may change without notice; please confirm the adoption fee at the time of acceptance).
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