YOU MUST PUT AN ANSWER IN EVERY FIELD OR THE APPLICATION WILL NOT SUBMIT. YOU WILL GET A CONFIRMATION EMAIL IF IT WAS SUCCESSFULLY SUBMITTED.
This application is NOT a commitment to adopt.The purpose of this application is to match you with the dog that will best suit your family and lifestyle. Please answer each question completely as incomplete applications cannot be processed. If the question does not apply to you, please put N/A in the blank.If you experience problems submitting your application, please email us at firstname.lastname@example.org. The adoption fee ranges from will be $200 - $500. The MINIMUM adoption donation for dogs over 1 year old is $375.00 plus $25.00 for microchip; and $455.00 plus $25.00 for microchip for puppies 1 year and under. This donation only partially reimburses the rescue for the investment that we make in each dog's care. All donations go directly to our dogs. We are an all volunteer-driven organization.
Today's Date (required)
Applicant's Full Name (First & Last) (required)
Birth Date of Applicant (required)
Your Email (required)
Phone Number (Cell) (required)
Phone Number (Home) (required)
Phone Number (Work) (required)
Best Time and Number to Call
Occupation for all family members
Home Address (required)
City, State Zip Code (required)
What kind of home do you have?
Do you own or rent your home?
If you rent, please provide the Landlord's info (name & phone number)
How long have you lived at this address?
FULL NAME and AGE of the main caregiver of the dog. Please also list ALL other members of the household: FULL NAMES and AGES
Does anyone in the household have allergies or disabilities. If so, please explain.
Do you have a yard? (Not required to adopt a dog)
Size of your yard?
Is the yard completely fenced?
What type of fencing?
WoodCement BlockWrought IronChain LinkOther
Height of your fence at the highest point.
Height of your fence at the lowest point.
Are your gates locked?
Do you have a pool?
If you have a pool, is it fenced?
Have you owned dogs in the past? If yes, which breeds and what happened to them and how long ago did you own your last dog?
Have you rescued any animals from a rescue organization in the past? If yes, which organizations
Do you currently have any pets? If yes, what kind (cat, dog etc) their ages and their temperament.
What brand and type of food did/do you feed your pet(s)?
Under what circumstances would you give up a dog?
Have you given up a dog in the past? If yes, what was the reason and what happened to them?
Who will provide for your pet in the event that you become ill or unable to care for him/her?
Are all your pets spayed and neutered?
Are all your pets up to date with their vaccinations?
Who is your Veterinarian? Name, address and phone number.
Do we have permission to contact your vet?
Where will the dog be housed during the day?
InsideOutsideBoth Inside and OutsideOther
Do you have a doggy door? (Not Required to adopt a dog)
Where will the dog be kept at night?
InsideOutsideBoth Inside and OutsideOther
If the dog is kept outside at night, do you have a safe place for them to sleep?
Covered PatioDog HouseGarageOther
How many hours a day will the dog spend alone without humans and where?
How do you plan on exercising your dog? How often?
Why are you choosing to adopt a dog?
What characteristics are you looking for in a dog (eg, energy level, low, med, high; age range; gender; size etc.? Please be as specific as you can.
Are you willing to take your dog to obedience class?
If you answered 'NO' above, why are you not willing to take your dog to obedience class?
Will you take your dog to dog parks?
Are you looking for a dog friendly dog?
Are you looking for a cat friendly dog?
Are you looking for a kid friendly dog?
Can you handle a dog with aggression towards other people or is protective?
Some dogs do not like other dogs, would you adopt that type a dog?
Some dogs react on leash towards other dogs but are friendly off leash, would you adopt that type a dog?
If a dog is not housebroken, are you willing to train the dog?
Are you aware of a dog shedding?
What would be the reason(s) you would return a dog? (required)
Select OneI wouldn't give my dog up for any foreseeable reasonDivorceMove to a place where animals are not allowedMove out of stateDog barks a lotDog nips/is too mouthyMarrying/dating someone with allergiesHigh vet billsDog is not trainableDog loses bladder/bowel controlDog is not housetrained/has accidents in the houseNeighbors complain about the dogNot the type of dog I was expectingPlanning to have/had a babyDog does not get along with current pet(s)
Would you ever consider putting your dog to sleep if surgery or treatment was too expensive? (required)
If for some reason the dog is not the right dog for you, what would you do with the dog?
Are you ok with us doing a home check?
Please give us at least 2 references, name, telephone number and relation to you.
List the names of any dogs on our website that you are interested in meeting. (please include the ABDR#)
How soon are you planning on adopting?
How did you hear about Angels Bark Dog Rescue
Another RescueRadioNewspaperRescue VolunteerSearch EnginePetfinderFacebookFriend
Have you submitted an application with any other rescues? If yes, please list the rescue's name and date of application: (required)
Please confirm that all the information above is true and correct?