Adoption Application

Thank you for your interest in adopting. Our staff is processing all applications as we receive them and they are all screened in that order and for the best fit. Unfortunately, we can not contact everyone. Thank you for your patience and understanding.

A meet and greet is not always possible. Most dogs listed are currently down south and we cannot save them from euthanasia unless they have a committed adopter. If you feel you can commit without meeting first please type YES. If the dog you are applying for is here in foster, we will process your application even if you did not answer.

Name

First NameLast Name

Are you over 21 or have parental consent. *

Yes/No

Date of birth*

Date

Email*

example@example.com

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Area CodePhone Number

Employer name & address*

Employers phone number

Dog or puppy's name you're applying for*

Second choice

Third Choice

Do you have a breed or breed mix preference?

Are you ready to take the dog immediately if available? *

If you apply for a puppy, Do you have the time and experience to take care of a young energetic dog.*

How did you hear about us? Petfinder, Adopt a Pet, our website, Facebook, Instagram, Friend/ Family

Do you rent or own?*

If applicable landlords name , PHONE number & email*

House, condo, apartment

Does your landlord state any restrictions? Breed, size etc.*

Yard? Fenced? Height? type of fence*

If you own your home how many years?

Does everyone agree to adopting in your family?*

How many hours per day will the animal be left alone?*

How many adults are in your home? How many children? Ages?*

All of our dogs come from shelters and will need a FEW WEEKS to be in your house in order to decompress. Are you ready for it?*

Do you have enough time to provide adequate love and attention to the animal?*

Have your children ever been around dogs?*

Do you agree to regular veterinarian care?

Do you agree to keep this dog as an indoor family member?*

How often will the dog be let out, walked to relieve itself?*

Where will the dog sleep?*

How do you discipline your pets?*

Is anyone allergic to dogs in your family?*

If your dog has an accident or does something you are not happy with how will you correct him/her?*

If your new dog develops issues are you willing to work with him/her? What if a trainer is needed?*

Have you ever surrendered an animal?*

What circumstance would cause you to surrender one of your pets?*

If you had to give your dog up what would you do?*

Name your past pets *

Name your current pets (type, gender, age)*

Are your pets spayed and or neutered & up to date with shots? *

Has an animal ever died while in your care? Please list name, age and reason of death.*

Do you understand an adoption of a dog could be upwards of an 18 yr commitment and can cost $1,000 or more a year? Are you ready for that commitment?*

You do realize that vet appointments, vaccines and flea, tick and heartworm prevention is a must? Will you comply?*

Supply the Veterinarians name, address & phone number that you have a history with for either past or present pets. *

Do you agree to a BTM representative doing a virtual home visit/interview?*

List 3 personal references (NOT RELATED) that you know 5+ years. Include their cell phone number and email address.*

#2*

#3*

All of the information I have provided is true and complete. If approved, the animal will reside inside my home as a pet. I will provide it with adequate love and affection, quality food, plenty of fresh water, indoor shelter, annual veterinarian examinations and vaccinations. By typing my name in the box below, I attest to this. Signature:*

BTM Staff only Date/Notes

Landlord

Personal reference screen

Veterinarian reference

Virtual Home Visit