Adoption Application
PROCEDURE: Please be sure to provide as much information as possible on your adoption application to help us to determine the best possible dog for you and your family. Our main goal is the successful and permanent placement of each and every dog we rescue into loving forever homes. Once we receive your application, we will review it and contact you to discuss finding a dog that is a great fit for your family. After your references are checked, a home visit will be scheduled with you.

ADOPTION FEES: Within the state of GA, adoption fees are $300 for dogs up to age 6, and $250 for senior dogs age 7+.
Outside of GA, adoption fees are $475 for puppies under 6 months of age, and $425 for dogs over 6 months.


Email address *
Name of dog(s) you're applying for: *
Where did you hear about the dog(s) you're applying for?
Your Name: (first and last) *
Phone numbers (home and cell): *
Other household members to be included on application: *
Adopter Street Address *
City *
State *
Zip Code *
Are you 25 years of age or older? *
How long have you lived at your current address? *
What type of dwelling do you currently live in? *
Do you own your home or rent? If you rent, please provide the name, phone and email address for your landlord or apartment complex. *
Does your landlord or HOA have any breed, weight or fence restrictions? *
If yes, please provide details:
Name of Employer and work phone number (if applicable) *
Are you able to afford the adoption fee?
Clear selection
Are you planning to move within the next 6 months? *
If yes, what are your plans for your pets if you move?
How many total hours will your new pet be left alone during the day? *
Do you plan to use a crate? *
If yes, how many hours will your new pet be in the crate?
Clear selection
If no, where will your dog stay during the day?
Please list the name and age of ALL occupants in your household (including yourself): *
Example: Betty Bark, 45 / Joe Dawg, 47 / Polly Pup, 5
If no children, do you plan on having children or will children be visiting the household frequently? *
If yes, please provide details:
Are any members of your household allergic to animals? *
If yes, please describe:
Who will have chief responsibility for the care of your new pet? *
Have you ever lost or given away a pet? *
(This question does not apply to dogs that have passed due to natural causes)
If yes, please explain:
If you currently own a dog, how does he/she react to new dogs? Any behavioral issues? *
(If you do not currently own a dog, please enter N/A)
Over the past 5 years, how many pets have you owned? Please list each individually, starting with your current pets, and include name, age, breed, whether still living with you, and if not, why? *
Example: 3 Pets - Spot, 12, Dog, Current / Fluffy, 6, Cat, Current / Squawk, 16, Bird, Deceased. If you don't currently own any pets, please enter "N/A"
Are your present pets up-to-date on their annual vaccines (including heartworm and flea prevention)? *
If no, please explain:
Can and will you provide your dog with monthly Heartworm (HW) and flea/tick prevention? *
Are your present pets spayed or neutered? *
If no, please explain:
Please provide the name & phone number of the veterinarian or shot clinic that will verify your pets are spay/neutered and up to date on vaccines & yearly HW preventatives. If you do not purchase HW preventatives from your vet/clinic, please provide info about where you purchase your preventatives. *
Please call your vet and authorize them to release information to BarkVille. Many vets will not provide us with the information we need to approve your application if they haven't received permission from you to speak with us.
What plans do you have for your new pet when you are on vacation or traveling for work? *
How do you plan on exercising your dog? *
Do you plan to do off-leash activities with your dog? *
If yes or maybe, please describe:
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