Dog Adoption Application

Thank you for your interest in adopting a dog from the Baldwin County Humane Society (BARC!) no-kill adoption agency. Prospective pet parents need to complete this application. When you click on the “submit” button, Abby Pruet, our Dog Adoption Coordinator, will instantly get it.

EVERY APPLICATION RECEIVES PRIORITY PROCESSING!

APPLICANT INFORMATION

I am at least 19 years old
YesNo

Name of dog you're interested in

If not interested in a specific dog, please describe what you are looking for

First Name

Last Name

Applicant Street Address

Applicant City

Applicant State

Applicant Zip

Applicant Cell Phone

Applicant Home Phone

Applicant Email

Applicant Employer Name

Applicant Employer Address

Applicant Employer Phone Number

Co-Applicant First and Last Name

Co-Applicant Relationship to Applicant

Co-Applicant Email

Co-Applicant Cell Phone

DOG INFORMATION

When are you looking to adopt?
Right AwayIn a few weeksOver a month

How many dogs and cats have you owned before?

If you no longer own them, what happened to them?

What Heartworm preventative are your current dogs taking?

HOME AND FAMILY INFORMATION

How long at current address?

Do you agree to a home visit pre-adoption and post-adoption?
YesNo

Live in house? a
HouseMobileHomeApartment

Rent or own?
RentOwn

If renting, does lease permit dogs?
YesNo

Landlord name and phone number

Size of yard

Is yard completely fenced in? If yes, what material and height?

Number of people in the house

Number of children and ages

Anyone allergic to dogs?
YesNo

Other pets currently in the house
DogsCatsBirdsOther

If other dogs in house, provide breed, sex, age and describe temperament

EXPECTED ROUTINE

What would be your dog's daily routine?
[ WHAT-WOULD-BE-YOUR-DOG'S-DAILY-ROUTINE]

Please list any unusual circumstances the dog will need to adapt to

Where did you see this dog?

If not interested in a specific dog, please tell us what you are looking for

Size dog looking for
SmallMediumLarge

Gender of dog looking for
MaleFemale

Length of hair on dog you're looking for
ShortMediumLong

Breed looking for...is mix ok?

List other qualties that are important to you

REFERENCES

Current Vet Information -- Name, Address, City, ST & Zip

Current Vet Phone Number

Personal Reference #1 -- Name and Relationship

Personal Reference #1 Phone Number

APPLICANT DISCLOSURE

Do you feel financially able to care for a dog for its lifetime?
YesNo

Do you feel physically able to care for a dog for its lifetime?
YesNo

Please tell us anything else you would like us to know about you, your home, your family or application


I give my consent to the Baldwin County Humane Society (BARC!) to contact the listed references. Any information obtained by BARC! will remain confidential.
YesNo