Dog Application

Have you owned a dog before *

In the event it should become impossible to keep the animal, the animal must be returned to the Bridge Home No Kill Animal Rescue. *

I agree to provide the proper food,water,shelter and restraint in accordance to the city and county leash laws. *

If a veterinarian determines within 10 days of adoption that the animals has an illness or injury that may reduce the animal to have a normal or healthy life. I can have it treated at my own expense or return it to the TBHNKAR immediately with the veterinarian stating the animals condition. *

I agree to have the animal examined by a vet within the first 5 days from the date of adoption including all required vaccinations. *

I agree not to dock my dogs tail or crop their ears for any reason. *

Animal you are interested in adopting *

Applicant's First Name *

Applicant's Last Name *

Street Address *

City *

State *

Apartment Number (if applicable)

Zip Code *

Phone Number

Email Address *

Alternate Phone Number *

Date of Birth

Is this pet for you or someone else?

Do you own other pets at the current time?

If yes, please list their names, breeds, and ages.

Are all of your pets spayed/neutered/fixed?

How many pets have you owned in the last 5-10 years?

What happened to them?

Are your pets current on their vaccinations?

Have you ever turned your dog or cat into a shelter?

If yes, please explain?

Veterinarian's Name

Veterinarian's Address, City, State, and Zip Code

Veterinarian's Phone Number

Please check the main reason you plan to adopt a pet:

If you answered "other" above, please explain here:

Do you own or rent your home?

Please select your current residence type.

If you answered "other" above, please explain here:

If you rent, does your landlord and lease allow pets?

If you rent, landlord phone number?

If you rent, landlords name?

Including yourself, how many people live in your household?

Please list the ages & relationship of those who live in your home.

Is everyone in your household aware that you are planning to adopt a pet?

Does anyone in your household have allergies to dogs/cats?

Employment Status

If you chose "other" above, please explain:

If you are employed, what is your current occupation?

Will this pet be predominantly living inside, outside, or both?

Please provide a description of this pet's living conditions.

Do you have a completely fenced-in yard? If so, what kind of fence?

If you answered "other" above, please explain:

If you do not have a fenced yard, how will you let the animal out?

Are there times when the animal will be tied/chained up?

If yes, when will they be tied/chained up?

Where will the animal sleep?

If you answered "other" above, please explain:

Will you keep the animal up-to-date on vaccinations and heartworm preventative?

If no, please explain:

Will you allow us to perform home checks?

I understand that TBHNKAR knows little or nothing about the animal and does not warrant or guarantee anything about it including its condition, behavior, prior ownership,breed,size,or age(these are educated guesses). I hereby release and agree to hold harmless The Bridge Home No Kill Rescue, its members and directors and assigns from any claim, liability, or cause of action arising out of or in any way related to, my adoption or ownership of this pet.

Signature *