Border Animal Rescue, Inc. (BAR)Adoption Application
BAR #
Adoption fee
Donation
Method of pmt
ID
THIS SECTION COMPLETED BY BORDER ANIMAL RESCUE
Adoption Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pet to be adopted:
Dog
Puppy
Cat
Kitten
Name of pet:
Approx. age:
(mos.)
or DOB:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Breed:
Color:
Gender:
Altered:
Yes
No
Fostered by:
Processed by:
Microchip number
ADOPTER INFORMATIONIncomplete Applications Will Not Be Approved
Name of pet you wish to adopt:
Full name of applicant/co-applicant:
Physical Address:
City:
State:
Zip:
Mailing Address, if different:
Primary phone:
Format: (000) 000-0000.
Secondary phone:
Format: (000) 000-0000.
Email:
example@example.com
Ages of all household members:
Housing:
Own
Rent
Length of time at this address:
Months
If renting, Landlord's name:
Phone:
Format: (000) 000-0000.
If renting, do you have permission to have a pet in your home?
Would you agree to allow Border Animal Rescue to conduct a home visit?
Please list two personal references (not related and not living with you):
Name:
Phone:
Format: (000) 000-0000.
Name:
Phone:
Format: (000) 000-0000.
Please list your other pets (if any), their names, species, ages, whether they are spayed/neutered, and whether they are up to date on vaccinations:
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Border Animal Rescue Adoption Application
Have you had pets before?
yes
no
Have you ever rehomed a pet?
yes
no
If so, why?
If so, What type?
Please Select
Cat/Kitten
Puppy/dog
Reptiles
Rabbit
Hamster/Guinea pig
Aquarium life
other
Why do you wish to adopt this animal?
Who will care for this dog or cat in your family's absence?
Please Select
Pet Sitter
Friend/Family
Neighbor
Haven't thought about it
Other
What will happen to this dog or cat if you move?
Who is your veterinarian? (add phone # if not local)
Do you have an estate plan for your pets in case of your death or you are no longer able to care for them?
yes
no
What are your estate plan for pets? (If you don't have any yet - type 'none')
Who will see to your final wishes?
Contact info for your representative; (Executor phone number and/or email)
DOGS ONLY: Where will the dog be kept?
Indoors
Outdoors
Both
Is your yard fenced?
No
Yes
If yes, type and height of fence: Wood
Describe shelter and shade for when dog is outdoors:
CATS ONLY: Per BAR policy, all cats/kittens must be
indoors only and may not be declawed
. Please initial that you understand this policy and will comply once cat/kitten is adopted:
initial
Please initial that you agree to contact Border Animal Rescue if you can no longer keep this adopted cat/dog:
initial
Please initial giving permission for your landlord, veterinarian, and personal references to be called and that you understand the application cannot be completed or approved until all have been successfully contacted:
initial
Please initial that you have read and agree to the Border Animal Rescue Terms of Adoption (next page):
initial
Applicant Printed Name
First Name
Last Name
Signature
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
BAR Official
First Name
Last Name
Signature
Today's Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
BAR Adoption Contact:
Dave Kelso or Claire Peachey
OR: 520-227-4859, or borderanimalrescue@gmail.com
Border Animal Rescue is a non-profit, all-volunteer group fully supported by grants and donations from the community.
Border Animal Rescue, P.O. Box 3865, Sierra Vista, AZ 85636
Message line 520-432-7964; Email: borderanimalrescue@gmail.com
www.borderanimalrescue.org
Rev. 2023
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Border Animal Rescue Adoption Application
Border Animal Rescue, Inc. (BAR)Terms of Adoption
By signing the Border Animal Rescue (BAR) Adoption Application and these Terms of Adoption, the adopting party acknowledges that:
If the adopted animal is a canine, it will not be kept outdoors the majority of the time, and when kept outdoors, will be kept in a fenced yard appropriate to the adult size and personality of the animal.
If the adopted animal is a feline, it will be kept indoors only (unless it has been adopted as a "barn cat") and not declawed.
BAR reserves the right to conduct follow-up visits on the animal. If an animal is confirmed by any law enforcement body to be suffering from neglect or abuse, the adopting party agrees the animal will be returned to Border Animal Rescue. The animal shall not be returned to the adopting party and the party shall not be eligible for adoption through BAR again.
The adoption fee includes spay/neuter, rabies vaccination, other age-appropriate vaccinations, and microchip. The adoption fee is considered a donation and will not be refunded if the animal is returned at any time.
The adopter will notify BAR within 10 days of adoption if the animal shows signs of illness or prior injury, and BAR will arrange for a diagnostic exam and treatment. After 10 days, BAR shall not be responsible for any medical expenses incurred unless prior arrangements have been made with the Foster Coordinator.
Please allow approximately one month for your adopted pet to fully adjust emotionally to its new home and environment. BAR is always happy to provide information and ways to help your new companion adjust. Please contact the Foster Coordinator with any questions or concerns.
If at any point the adopting party is unable to keep the adopted pet, they agree to contact BAR as soon as this is known.
My signature below releases Border Animal Rescue from any and all liabilities associated with the subject animal, other than specified above.
I understand the above terms and agree to them.
Printed Name
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Border Animal Rescue is a non-profit, all-volunteer group fully supported by grants and donations from the community.
Border Animal Rescue, P.O. Box 3865, Sierra Vista, AZ 85636
Message line 520-432-7964
Email: borderanimalrescue@gmail.com
www.borderanimalrescue.org
Rev. 2023
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