BARK – Adoption
For whom are you adopting, you or someone else?
If someone else, who?
Phone# : Home :
E - mail :
Have you ever adopted a dog from a shelter/rescue group before?
If so, please provide the name of the shelter/rescue as reference:
Have you ever surrendered an animal to a shelter/rescue group
before? If so, describe the circumstances:
Dog Of Interest
What dog are you interested in?
Are you familiar with that breed?
If not, have you done research on that breed?
Why do you wish to adopt a dog:
How many dogs have you been responsible for as an
What happened to them?
What is your current living situation (house, townhouse, apt,
condo, with parents)
Do you own or rent?
Do you have a fenced-in yard?
How many adults live with you?
Please list their name, age, occupation, and their relationship
Do you have children (please list their ages)
If you don’t have children, do you plan on having children
in the next few years?
Are you frequently visited by children?
Is any member of your family allergic to dogs?
Do you have any current pets?
Please list type, age and temperament (particularly with regard
to other dogs):
Are your pets spayed / neutered?
Are your current pets up to date on their shots
and on heartworm preventative?
Who is/will be your veterinarian? Please provide phone number:
Lifestyle with regard to a dog
Will your adopted dog be: Inside, outside, both ?
How many hours a day will the dog be home alone?
Where will the dog primarily be kept? ( house, yard, garage, other)
Where will the dog be sleeping?
Where will the dog be when you are not at home?
Describe the exercise program that you have in mind
for your dog :
What type of food will you be feeding your adopted dog?
Are you planning to enroll your adopted dog in obedience/training
If not, how do you intend to train the dog?
If you intend to train the dog yourself, please give a detailed
description of your previous experience training dogs.
How will your dog be cared for if you have to be
away from home for an extended period of time on vacation or business?
Would you have any objection to someone from our
agency coming to your home to conduct a home check prior to adoption
of a dog?
Would you have any objection to someone from our agency doing
a vet reference check on you?