Adoption Application Please allow 3-5 business days for us to process your application. Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Tell us why you want to adopt. * Do you have any other pets in the home? If so, give details on breed, age, temperament, etc. * Have you ever adopted a pet before? * Yes No Have you ever surrendered a pet before? * Yes No If yes, please explain. Number of adults and children in the home. * Please include ages in parenthesis. Employers for all family members. * Housing Status * Rent Own Other Type of House * Single Family Apartment Condo or Townhome If renting, please provide your landlords contact information. Please provide a personal reference and a vet reference. * ADOPTION AGREEMENT: You MUST CHECK ALL the following: * I understand that adopting a dog is a 10-15 year commitment. I understand that I must take my pet to the vet for annual wellness exams and necessary vaccinations. I understand that Bark Camp Rescue has the right to conduct a home visit. I certify that all information in my application is true and there are no misrepresentations. I agree to surrender the animal to Bark Camp Rescue in the event I need to surrender the animal. Thank you!