Tx Bark Squad Adoption app

Texas Bark Squad is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, euthanasia listed animals. Texas Bark Squad is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.

This questionnaire is designed to help Texas Bark Squad and yourself determine if a specific dog is the right one for you and your household. All adopting parties are required to complete this form prior to adoption. Texas Bark Squad Rescue reserves the right to deny any adoption for any reason. Our loyalty is to the pets in our care!

Name of the dog you are interested in:*

Your full name:*

Your age:*

Street Address:*

City, State, Zip*

Home Phone:

Work Phone:

Cell Phone:

E-mail:

Employer:

Vet Reference and phone number:

Character reference #1 and phone number:

Character reference #2 (non related) and phone number:

Are all members of your household in agreement with this adoption?*

YesNoDon't Know

Who will be the pet's primary caregiver?*

Home*

HouseApartmentWith FamilyOther

Do you own or rent?*

OwnRent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

YesNo

Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone

Do you have a fully fenced yard?*

YesNo

Height and type of fence

How many adults are in your household?*

How many children are in your household?*

If children, what are their ages?

Have your children been around animals before?

YesNo

Does anyone in your home have allergies to dogs or have asthma?*

YesNo

Describe your Homes Activity Level ?*

Busy/NoisyModerateQuiet with occasional guests

List any pets you own or have owned in the past five years, and their ages

How many of these pets are spayed/neutered?

Where are these animals now?

Have you adopted from an animal welfare group before?

YesNo

If yes, what group?

Have you ever given up a pet?

YesNo

If yes, what were the circumstances?

Please provide the name and phone number of your current and/or previous veterinarian or clinic:

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

Are you aware of crate training?*

YesNo

Have you ever house-broken a dog or puppy before?*

YesNo

If the dog has an "accident" in your home, what type of correction do you plan to use?*

How many hours each day will your new pet be home alone?*

Where will your new pet sleep at night?*

How will you supervise the dog's outdoor activity?*

Where will your new dog stay when nobody is home?*

What length of time will you allow your new pet to adjust to his new home?*

Are you willing to work through your new pet's issues, if any?*

YesNo

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo

Do you understand that a dog can be an 18 year commitment, and can cost $300 - $500 per year to care for?*

YesNo

Do you plan to take an obedience class with your dog? (Not required!!)*

YesNoNot sure

If yes, where?

Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?*

YesNo

What circumstances would lead you to give up your new dog?*

If you had to give up your dog, what would you do with him/her?*

I understand that I assume full responsibility for the this pet and its welfare from the date of adoption. Full adoption contract will be sent upon approval.

Texas Bark Squad Adoption Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information