Bambis Pet Application

Applicant Information
Date:*

MonthDayYear
Date
Pet you wish to adopt
Age of Pet desired:
Ideal Pet Age:
Why do you want to adopt?*
If you are interested in a Puppy or kitten, you understand that they will require training?
Name*

First NameLast Name
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email
example@example.com
What is the best way to contact you?*
Are you Presently*

RetiredEmployedUnemployedStudent
Employer:
School, if Student:
Number of people in household:*
Are there children in the household? If so what are the ages?
Do you have any pets currently? If so list what type.
Does anyone in the home smoke?**
*If so, you understand that your pet can suffer from the smoke, and is at an increase risk of respiratory issues and allergies.
Co-Applicant Information
Name

First NameLast Name
Relationship:
Phone Number

Area CodePhone Number
Email
example@example.com
Are you presently

EmployedUnemployedRetiredStudent
Other information
Do you rent or own your current residence?

OwnRent
If Renting are pets allow?*

YesNo
Complex Name & Address:
Landlord:
Phone #:
Where will the pet spend nights?*

InsideOutside
About how long will your pet be alone each day?*
If your pet is to be outside, please explain the reasoning and the area they are to be in
Is your yard fenced?*
Where will the dog stay when left alone? (House, Room, Crate, Outside, etc)*
If you have to be away for an extended amount of time. Who will take care of your pet?*
If there is an emergency, are you willing and able to pay for your pets care?*

YesNo
List any pets you own or have owned in the past five years, and their ages and where are these animals now?
Have you ever given up a pet?

YesNo
If yes, what were the circumstances?
Current Veterinarian:
Phone:
Are you aware that your pet can live 10-15+ years?*

YesNo
New Pet Information
What kind of personality are you looking for? (i.e. playful, couch-potato) *
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo
Are you aware that a some pets takes up to two years to mature? Is this something you're prepared for?*

YesNo
What circumstances would lead you to give up your new pet?*
If you had to give up your pet, what would you do with him/her?*
I have read and understood this application and have truthfully provided information herein. I understand that a Bambi's Army Rescue representative will be reviewing this application and conducting appropriate due diligence, to include contacting property management companies/landlords, and other relevant parties.
Signature:*
Date:*

MonthDayYear
Date
Adoption Fees:
(BARK) keeps adoption fees affordable our adoption fees range from $200 to $325* and are based on several factors such as age, breed, any health releated issues. The adoption fee includes Spay or Neuter surgery, Microchip, Deworming, Flea prevention treatment, Age appropriate Vaccinations and Rabies certificate.

*We offer discounts. Please visit bambis.org after submitting this application to view our discount programs
Please verify that you are human*
Should be Empty:

Applicant Information

Co-Applicant Information

Other information

New Pet Information

Adoption Fees: