BARK Adoption Application

Before filling out the adoption application please read information regarding BARK’s adoption process here. If you do not receive a confirmation that your application has been submitted, do not worry. It was submitted.

Personal Information
Name*
Prefix First Last Suffix
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Daytime Phone*
Evening Phone*
Cell Phone*
Other Adults in Household
List first and last names of other adults living in your household.
Your Occupation
Usual Work Schedule/Hours Per Week
Your Home and Yard
Your home is:*
Do you own or rent?*
Do you have a fenced yard?*
Outdoor Spaces*
Briefly describe the outdoor area where your dog will spend time. (size of area, height & type of fencing, shelter, etc.)
Do you have a swimming pool?*
If renter, do you have your landlord's permission to keep a dog?
Are there restrictions?
If you rent, you must provide written consent from your landlord to bring animals onto the property. Please provide the following information:
Landlord Name
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Phone
Email
Your Family & Lifestyle
Please list all human household members, including frequent visitors, and their approximate ages.
If you have children, how many activities are your children involved in outside the home (such as sports, arts, etc.)?
To which of these activities would you like to be able to take the dog along?
Do all family members want an Australian Shepherd?*
What qualities of the breed made you decide to adopt an Australian Shepherd?*
Is this your first Australian Shepherd?*
Is there a particular dog you're interested in?*
Name of Dog
Given that this is a work-oriented breed that does not do well when bored or under-stimulated, what plans do you have for the dog you adopt? (Walks, Frisbee, obedience, agility, stock work, etc.)*
Are you aware that Australian Shepherds need regular brushing and shed a LOT*
Generally speaking, what kind of temperament would best suit your household? Check all that apply.
- Energetic, always on the go
- Loves to walk, run or hike
- Sweet & cuddly
- Patient & tolerant of kids
- Coach potato 80% of the time
- Protector of the house, barks loud
The Aussie
Preferred Sex*
Preferred Age*
What will your Aussie need to get along with? Check all that apply.*
- Other Dogs
- Cats
- Indoor Birds
- Small Rodents
- Poultry
- Livestock
- Women
- Men
- Teenagers
- Young Children (ages 0 – 5 years)
- Older Children (ages 6 – 12 years)
After researching the breed, are there any characteristics you would prefer to avoid in an adopted Australian Shepherd? (remember that almost all Aussies that come through our program have either been neglected or abandoned, and have an unknown history).*
Approximately how many hours a day will the dog be left alone?*
Where will the dog be during the day?*
Where will the dog be during the night?*
Are you familiar with crate training?*
Do you own a crate?*
When would you use a crate?
Other Pets
Please list other pets in the home. Include the pet's name, species, breed, age, sex and whether it is spayed or neutered.*
If you currently have no pets put N/A.
Tell us about your previous pets, how long they lived and what ultimately happened to them. Include breed, age and what happened.*
References
Veterinarian*
Please provide the name, address and telephone number of your current veterinarian. Please contact your vet and give his/her office permission to release information regarding your pet'(s) care to BARK.
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Please provide the names, telephone numbers, and/or email addresses of two personal references (who are not relatives, roommates or your boyfriend/girlfriend)
Name*
Phone*
Email*
Name*
Phone*
Email*
Other
Please add any information about yourself that you think would be useful in helping us select the right dog for you.
I would be willing to allow a volunteer to visit with my family in our home.*
Are you prepared to pay an adoption fee?*
(Our current adoption fees are $250 for adult dogs. Elderly dogs or dogs with special needs may have a reduced fee. Rescue dogs are spayed/neutered, vaccinated, checked for heartworms and intestinal parasites and treated if necessary, on heartworm preventative, treated with flea/tick preventive, and microchipped).
How did you hear about BARK?
Agreement
I hereby certify that the information contained in this application is true and correct. I authorize BARK to make such investigation of this application as it deems appropriate, to include the contacting of any of the individuals or institutions referred to in the application. I also give my consent for the transmittal or communication regarding my qualifications as a pet owner and veterinary history to BARK by any individual or institution listed above. I am also financially and physically able to care for an Australian Shepherd.
Signature*
First Last
Date*
Name
This field is for validation purposes and should be left unchanged.

Adoption Application

Personal Information

Your Home and Yard

Your Family & Lifestyle

The Aussie

Other Pets

References

Agreement