BARKS Application for Dog Adoption

Adopting a dog from BARKS...
Dog's Information
Dog's Name*
Dog's description (breed, color, size, age)
Remarks
Applicant's Personal Information
Last Name*
First Name*
Name of Spouse/Other Adult Living in Home
Address*
City*
State*
Zip*
Home Phone*
Work Phone
Cell Phone
Email Address
Ages of all other family members living in the home
Typically, how many hours are you away from home per day, working, etc.?
Please check one:

I own my home.I rent my home.I rent an apartment.
Applicant's Home Environment Information
Check all that apply:

I currently have a dog(s).I have had a dog(s)in the past?
Please indicate name, breed, age and gender of above dog(s).
Are there cats in your home?

NoYes
If yes, how many cats?
Are all of your pets spayed/neutered?

YesNo
If not, why?
Who is your veterinarian?
Please enter your vet's phone number
Do you have a fenced-in yard?
If not, will this dog be...

leash-walkedtied on a sliding runsecured in an outdoor kenneltrained to stay in the yard
Where will the dog be kept when you are not at home?
Applicant's Dog Training Techniques
Have you ever used a crate to train a dog?
Would you be willing to purchase and use a crate if it was recommended by BARKS?
Would you seek professional training for this dog if circumstances warranted it?
Please use this space for anything you'd like to add:
Applicant's initials - Initialing indicates that you understand all of the above and have been truthful in your responses.*
Today's date*
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Dog's Information

Applicant's Personal Information

Applicant's Home Environment Information

Applicant's Dog Training Techniques