TLC Rescue: Dog Adoption Application

Sumitting this application does not mean you are commiting to a dog, nor does it guarantee that you will be accepted as the adoptive parent for who you are applying for. This application is the first step to help all parties identify your perfect forever furry friend. TBBR specializes in selecting the right dog for your household by understanding both the adopter and the dog's needs/care requirements. Please help us with this process by answering the following questions fully & completely. THANK YOU!
Once submitted, please make sure to check your junk mail!
Name of the dog you want to adopt*
Applicant Information
Adopter's Name*
First & Last Name
Co-Adopter's Name
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Adopters Phone Number*

Area CodePhone Number
Adopter's E-mail*
Adopters Instagram*
Adopters Facebook URL*
Co-Adopters Phone Number*

Area CodePhone Number
Co-Adopter's E-mail*
Co-Adopters Instagram*
Co-Adopters Facebook URL*
Names and ages of all permanent residents of your home (adults/children)*
Name of Dog*
What about this dog's bio makes you feel that they are a good fit for you? *
Please be as detailed as possible.
Have you or anyone in your home ever been convicted of a felony for animal cruelty or neglect? **

YesNo
If you answered yes to the above question, please tell us in detail about the situation.
Who will be the pet's primary caregiver?*
If you are sharing responsibilities between two or more individuals in your household, and the decision was made to go separate ways, what would happen to the dog? Has this been discussed?*
If you have children living in the home, please tell us about their experience with dogs. Will they be a part of caring for the dog? Will they be home alone with the dog? Tell us how you've prepared to make sure this is a safe environment for the children, and a comfortable environment for the dog*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
What type of neighbourhood do you live in?*

CitySuburbCountryCottageSmall Town
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
Are you familiar with dog regulations in your area?*

YesNo
If yes, please describe local dog regulations and restrictions:
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations. If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Please upload a copy of the pet section of your lease or a landlord pet permission letter

Browse Files

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Approximate square footage of your home*

Less than 800 square feet800-1,000 square feet1,000-1,500 square feet1,500-2,000 square feetOver 2,000 square feetOther
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)Other
If vertical fence, what is your fence height?

2' high3' high4' high5' high6' highOther
Approximate dimensions of your lot:*
Annual Household Income*

Under $20,000$20,000-$30,000$30,001-$50,000$50,001-$70,000$70,001 or higherOther
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/province?
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shiftsOther
If you both work outside the home, how many hours per day are you away?*
Adoption Match
When will you be ready to adopt this dog?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Are you willing to take on a dog through our foster-to-adopt program? With our foster-to-adopt program, there are no meet and greets. You will get to take the dog into your home the day they arrive into care, and will have two weeks with them to work through all basic training, and allow them to adjust to your home with the support of our team.

I’d prefer to foster-to-adoptI'd prefer a dog that has already been in foster careI’m open to either or option
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
Does anyone in your home smoke indoors?*

YesNo
Are you in contact with any other rescues or shelters about a specific dog?*

Yes, application is pendingYes, just an email inquiry, no app yetNo, but I am looking at several dogs onlineNo, I am only interested in this particular dog
Are you going to meet another dog?*

YesNo
If so, when?
After reading the bio on this dog - please let us know what challenges you expect to work through with them. How have you prepared to work through these things with them? Do you have any experience with these things? *
Please be as detailed as possible.
How many hours per day will this dog be alone? Please explain.*
Please let us know what an average day looks like for you.*
How do you plan to include a new pet into this daily routine? How do evenings/weekends differ? How long are you gone from the home? How busy of an environment is your home?
If your schedule changes in the future, will you consider using a dog walker or daycare when you are away for long stretches of time?*

YesNoHaven’t thought about it
For students: as you know, having a dog is a big commitment, including financially. Please let us know how you have prepared for these circumstances while you are in school.
In addition to regular expenses like annual vetting and food, adopters need to be prepared for emergencies.
Have you discussed this adoption with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a dog added to the family. Please do not submit this application if you are "trying to talk someone into" adopting this dog or think "once they meet the dog, they will want one" or "I'm getting this dog as a surprise present for them." In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Based on the description in the dog's bio, do you feel pretty confident that you will be likely to adopt this dog upon meeting it?*

YesNoNot sure
Upon meeting the dog, what would give you cause to not want to adopt it? Please explain.*
Fantasy question: What would your dream dog be like? (If this dog is not a fit, we may be able to recommend another based on what you say here.)*
How much do you feel you can reasonably afford and would be willing to spend on your dog per year (for things like veterinary care, licensing, ID tag, food, toys, crate, other supplies, training, pet sitting, etc)? *
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. I want to adopt this dog...*

As a family petTo breed with my dogTo train/use for huntingTo train/use for agilityTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogFor a jogging/hiking partnerTo interact with lots of friends/familyAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/childrenOther
Please check all that apply. My adopted dog will...*

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe kept on a lead line/cable in the yardBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to adoptionWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usBe trained by us without the advice of a trainerHave private sessions with a trainer as neededBe attending agility classesBe taking frequent car rides/trips with usBe boarded when we go on vacationStay with family when we go on vacationBe given away to someone else if we feel it's not a good match for usBe turned in to a shelter if we can't keep itBe going camping with usBe going on boat trips with usBe outside with a dog house in a fenced areaBe outside chained/tethered to a dog houseBe free roaming on the farm (unfenced)Other
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingCounter surfingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsEar mitesFleasTicksHeartworm preventativeAnnual heartworm/lyme combo testingI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Expensive foodDaily trainingSpecialized foodOther
What would cause you to return a dog?*
Have you ever had to do this in the past? Can you tell us about it?*
Please outline what your activity level will look like with a new dog in your home and/or what your activity level looks like with your current pet.*
Describe the quantity/duration and type of physical exercise you can provide daily. Please also describe the amount of mental stimulation you can provide daily.
Do you have any trips/life changes happening within the next few months? If so, please tell us more about what is coming up in your life.**
Why have you chosen to adopt? Do you have any concerns with adoption? *
Are you ready to commit to a dog for at least the next 10 years?*
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?*
How do you plan to integrate this dog into your family?*
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?*
Do you plan to get pet health insurance?*

YesNoI wasn't aware this was available. I will look into it.
What brand of dog food do you plan to feed?*
Grooming (please check all that apply)*

We use a professional groomerWe trim dog nails ourselves at homeWe bathe our dogs at home once a weekWe bathe our dogs at home once a monthWe bathe our dogs at home once every few months or whenever their coat feels dirtyWe bathe our dog twice a yearWe don't bathe our dogWe check ears weekly for infection/yeast/mitesWe check coat daily for ticks in spring/summer/fallWe clean teeth using home methodsWe take our dogs to the vet for dentals whenever the vet recommends this is neededPrefer a dog that doesn't shedDon't care about shedding
How long have you been looking for a dog?*
Do you plan to take formal obedience classes?*

YesNo
Setting up our adopters and our dogs for success is the most important thing for TBBR! Part of the process is ensuring that our adopters are committed to continued learning with their dogs and ensuring their success once they arrive into their forever homes. Do you agree to sign up for training classes with your pup either online or in person? **

I’m excited to sign up!Not interested in trainingOther
Vet reference (please call your vet and give permission to release information to us)*
Vet name, address & phone number
Three Personal References*
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a dog?*
I understand that completing this application does not guarantee I will be allowed to adopt a dog, and that the application is a tool to help The Barking Billboard Rescue determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect. I agree to allow a representative from The Barking Billboard Rescue to contact my vet and listed references for a reference check and also agree to allowing a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a non-refundable adoption fee and hand sign an adoption contract before picking up my adopted dog. I understand that all dogs adopted from TBBR receive complete medical care, which includes de-worming, vaccinations, prevention, and spaying/neutering (if of age) prior to their adoption.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant’s Signature*

Clear
Co-Applicant’s Signature

Clear
Signature date*
After you submit this form, it will take you back to The Barking Billboard's home page. Feel free to email us with any questions.

Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.

The Barking Billboard reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescued dogs.
Should be Empty:

Applicant Information

Adoption Match