If you are interested in adopting, which dog? (If you would like to foster, you may leave this question blank):
Which dog interests you, please tell us why:
Date of birth of primary applicant (month/day/ year):
What is your occupation?:
Co-Applicant's Name (First/Middle/Last), and applicant's maiden name and/or any aliases:
Date of birth of co-applicant (Month/day/year):
Relationship to Applicant:
Occupation of Co-Applicant:
Work Phone of Co-Applicant:
Cell Phone of Co-Applicant :
Email Address :
FAMILY DYNAMICS please list full names (first/middle/last) and ages (month/day/year) of any other adults in the household:
Relationship to Primary Applicant:
Please list names and ages of children in the household:
If you do not have small children living in your home, will your rescued dog come into regular contact with any children? :
If yes, how often and what ages? :
Has anyone in the household ever been convicted of domestic battery, animal cruelty or a violent crime? If yes, please provide details:
Are you willing to let a representative visit your home before and after adoption?:
Does anyone in the household have an allergy to dogs? :
If yes, who?:
If so, describe how will you handle the situation:
If your new boyfriend/girlfriend is allergic to the pet, how will you handle it?:
Do you own, rent, or live with relatives?:
Do you live in a single family house, condo, townhouse, apartment, dorm, or another type of housing?:
If other, please describe. :
If you rent, does your lease allow dogs? :
Name of Landlord:
Phone number of Landlord:
If you ever move into a building/house that did not allow pets, do you understand that you are required to return your dog to BAWF?:
If you ever moved out of state and could not take your dog with you, do you understand that you would be required to return your dog to BAWF?:
How long at current address? :
If less than 5 years, please provide ALL previous address(es) in the past 5 years. Include street address, City, State, Zip and County in which you lived and how long at each address :
If you live in a condo/townhome, does your Homeowner's Association allow dogs? :
Are there any restrictions?:
Name of condo/townhouse property manager?:
Do you work:
Full time/Part time? If yes, please list hours:
Do you attend school:
Are you retired?:
Is anyone in the household a stay-at-home person? If yes, who? :
If no, how many hours will the dog be left alone?:
Describe where your dog will be when you're home:
Describe where your dog will be when you're not home:
Describe where your dog will be when you're asleep:
Will your dog be an inside or outside dog? :
When outside, where will your dog be (leash walked, tied or chained on porch or in fenced yard, tied or chained in unfenced yard, dog run, dog house, loose in unfenced yard, loose in fenced yard)?:
Is your yard fenced? If yes, please describe type and height of fence:
Is the fence attached to the house? :
CURRENT AND PAST PETS
Please tell us about your most recent (current and past) pets: (Please include type of pet, breed/size, male or female, age, spayed or neutered, still own, if no, where is pet now?) :
Are your current dogs indoor, outdoor, or indoor/outdoor? If you do not currently have a dog, was your past dog indoor, outdoor, or indoor/outdoor. Please explain. :
What type of collar are you using with your current dog(s) or plan on using with your newly adopted dog (link chain, buckle, nylon snap collar, pinch/prong, harness, other)? :
Are your current dogs heartworm tested annually? :
Are they kept on heartworm preventative? :
If you do not have a dog currently, were any previous dogs heartworm tested and kept on heartworm preventative? :
Have you ever had to give up a pet? If yes what were the circumstances and what did you do with the pet :
Have you ever had a pet lost, stolen, or hit by a car? If so, please explain:
Who will be primarily responsible for:
Feeding the dog?
Grooming the dog?
Walking the dog?
Training the dog?
Do you have experience with dog training?
Please describe :
Are you willing to attend obedience classes and/or hire a trainer at your own expense if necessary? :
Do you plan on crating your dog?
Do you own a crate?
Do you have any questions concerning crating your dog?:
How do you plan to discipline the dog?
If your dog developed a medical condition that cost more than $500 to treat, what would you do?
How much time are you prepared to allow for your new dog to adjust to your home?
What is your anticipated level of exercise with the dog?
DOG OF INTEREST
Why do you want to adopt a dog?
What characteristics are most important to you when considering which dog you will adopt?
Please provide 3 nonfamily personal references that are familiar with your family and pets. One reference should be a neighbor. Please provide phone numbers. References can include pet sitter, groomer, etc.
Please do NOT include your vet or family members:
Who is your current veterinarian? Please provide phone number :
Who is your former veterinarian? Please provide the telephone number. What are your pet's names who have seen this vet?
Do you understand the information we receive during the approval process is confidential and we cannot give details to the applicants if they are denied?
PLEASE READ CAREFULLY: By signing and dating below (including electronic signature), I certify that I understand that adopting a dog or puppy is a serious responsibility. A dog you adopt today will likely be a part of your family for the next 12 to 15 years. A dog makes considerable demands on your time and resources. As a dog owner, you will need to spend time training, socializing, grooming, feeding, scooping poop, exercising and playing with your dog each day. Dogs that have not had training need even more time and socialization. All dogs require regular medical care. Some dogs require special food or medications. Some dogs require regular professional grooming. Vet bills, pet sitting and vacation boarding fees may add considerable expense to your family budget. By signing and dating below, you are stating that you are prepared to accept the personal and financial responsibility of owing a dog
By signing and dating below (including electronic signature), I certify that the information provided on this application is true and I recognize that any misrepresentation of facts will result in losing adoption privileges. I further understand that the adoption of this pet may be delayed until information can be verified. I authorize investigation of all statements in this application, understanding that veterinarians, landlords and personal references may be contacted, and I authorize the persons/entities listed above and/or their personnel to disclose to a representative of BAWF information that they possess regarding myself, my family, and the treatment and services of my current or former pets. :