Barkin' Dogs Rescue
Contact: 816-898-5646
Fax: 913-964-3009
Website: www.barkindogs.org
Email: barkindogs1@aol.com
Email address *
Desired Dog's Name *
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Adoption Application & Agreement
Aussie Rescue & Support

Barkin Dogs Rescue does request an adoption fee, which helps us cover some of the expenses incurred in the rescue and rehabilitation of an Australian Shepherd and other mixed breeds in need. Anything received above that amount is a tax-deductible donation, and is greatly appreciated. Again, thank you for contacting us with your interest to adopt one of our very special dogs.

Personal Information: Name *
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Personal Information: Age (If under 21)
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Personal Information: Street Address *
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Personal Information: City *
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Personal Information: State *
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Personal Information: Zip Code *
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Personal Information: Best Daytime Phone *
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Personal Information: Email Address *
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Describe yourself - your energy level, your interests, your favorite activities, etc. *
Your answer
Describe your ideal dog - its energy level, personality, and level of training and special skills, etc. *
Your answer
Veterinarian Reference: Do you have a current or regular veterinarian? *
Current or Future Veterinarian: Name *
Your answer
Current or Future Veterinarian: Address *
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Current or Future Veterinarian: Phone Number *
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Your Home and Yard
Your home is a *
With a yard? *
How long have you lived in this home? *
Your answer
Is your neighborhood on a busy street or in a rural setting? *
Your answer
Do you *
If you rent, you must provide a written consent from your landlord to bring animals onto the property. Please provide the following, and attach a letter of consent to this application: Landlord's Name & Phone Number: *
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Do you have any neighborhood restrictions/homeowner's association rules which might preclude your ability to have a dog in your home? *
Do you have a fenced in yard or a fenced areas for the dog to use? *
If yes, what type of fencing is it? *
Your answer
Is it attached to your house and accessible from a door? *
What is the height of the fence? *
Your answer
If you do not have a fenced yard, how do you plan on exercising the dog? *
Your answer
Where do you plan for the dog to go to eliminate? *
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Your Family and Extended Family
How many adults and children live in your home?(Please provide the name and ages) *
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Are there regular visitors to your home (human or animal) with whom your new dog must get along with? *
Your Pets And Activities
Do you currently own another pet or pets? If so, please list the types of animals, breed, names, ages and sex (neutered or spayed). *
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Are all your dogs or cats on Heartworm, and Flea & Tick Preventative? *
If yes, what types and brand are you using? *
Your answer
Please list all the names of all dogs and cats that you have owned in the last 5 years and the reason they are no longer living with you. *
Your answer
What types of activities do you participate in, or plan to, with your dog? Check all that apply. *
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Do you plan to Train regularly? *
If yes, How many hours per week? *
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Dog Living Arrangements
If you adopt a dog, where will he/she spend the day? Check all that apply. *
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On average, how many hours will the dog spend without human company each day? *
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Where will the dog spend the night? *
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