BARK

Adoption

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Adoption Application

Adoption Application

Thank you for your interest in adopting a rescued dog or puppy.

Please Note:

1) Confidentiality: This form is designed to help you find the dog or puppy most compatible with your lifestyle. BARK will maintain the information provided below as confidential and will not share your information with any outside individuals or organizations without your express consent. Completion of this application does not obligate you in any way or guarantee the adoption of a BARK dog or puppy. BARK reserves the right to approve or deny any application for any reason and the right not to disclose the reason.

2) Spay/Neuter: BARK ensures that all adult dogs and puppies are spay/neutered prior to adoption. It is possible that an approved adopter may experience a short waiting period (for spay/neuter to occur) between being approved and being able to take the dog or puppy home. In the event this occurs, we thank you for your patience.

3) Response: A BARK representative will make every effort to contact you regarding your completed application within 3-5 days. When experiencing a high volume of applications, the time to process an application may take longer. Please add "adopt@barkva.org" to your list of safe email addresses as all initial communication will come from this email address.

Please complete all of the following questions completely to the best of your knowledge.

Applicant Information

Household Information

For each adult in the household in addition to the applicant, please provide the following information:

Information for Additional Adults in the Household

This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.
This information is needed for each adult in the household.

Household Information (Continued)

The following set of questions should be completed for each current animal in your household.

The following set of questions should be completed for each current animal in your household.

The following set of questions should be completed for each current animal in your household.

Contact information for your current veterinarian:

Please include the street address, city, state, and zip code.

The following set of questions should be completed for each previous animal you have had.

Please include the street address, city, state, and zip code.

The following set of questions should be completed for each previous animal you have had.

Please include the street address, city, state, and zip code.

The following set of questions should be completed for each previous animal you have had.

Please include the street address, city, state, and zip code.

The next three questions apply to all adults residing in the house:

Lifestyle Information

Please include your landlord's name and phone number

Please provide the name and contact information for two personal references. Your references should not live in your home. At least one reference must not be related to you.

References should not live in your home. At least one reference must not be related to you.

Second personal reference:

Authorization/Release

By signing (placing your initials on this form) below and submitting this form, I certify that all information given in this application is true and correct, to the best of my/our knowledge. I understand that BARK is a non-profit organization and is offering the Courtesy Listing Program as a RESOURCE to help animals in need and is in no way responsible or affiliated with the dog or lister/owner of the dog. By submitting this form, I hereby further grant consent to BARK and its agents to seek information about me from all named and unnamed sources within this application, including but not limited to veterinarians, rental agents, and personal references, regarding this application. Providing false information or refusing to sign below will result in the rejection of the application or the nullification of any adoption or foster agreement.

BARK reserves the right to approve or deny any application for any reason and the right not to disclose the reason.

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