Because love knows no boundariesInterested in adopting one of our animals? Fill out some info and we will be in touch shortly! We can't wait to hear from you! Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Occupation * Housing Type * House/Single Family Home Condo Apartment Other Rent or Own? * Rent Own If you rent, please provide your landlord's contact information. Do you have an enclosed yard? * Yes No Do you have any plans to move in the near future? * Yes No Household - Please list all household members. * E.g., name, age, relation; include yourself Is everyone in the home supportive of getting a new dog? * Yes No Is anyone in the home allergic to dogs? * What dog are you are interested in adopting * Tell us about all of the animals that are currently in your home. * E.g., type, breed, age, sex, altered, personality; the more information the better! Have you ever re-homed an animal before? * Yes No If yes, please explain the circumstances that led to re-homing your pet. Is there any reason that would cause you to re-home your new dog? * What experience do you have with training or caring for dogs? * Which behaviors are you willing to work on with your dog to ensure success in your home? Chewing/Destructive behaviors Digging Fearfulness Mouthieness Nuisance Barking Separation Anxiety Rough Play Leash Pulling Jumping Potty Training Special Needs Special Diet/Daily Medication If you have a preferred Veterinarian please provide contact information. How many hours a day would your dog be alone? * Where will the dog stay when you are not at home? * Where do you plan to have the dog sleep? * Is there any other information you would like us to know about you? Acknowledgement * Barks Without Borders Adoption Terms & Conditions I acknowledge I have read, understood and agree to Barks Without Borders terms & conditions. Thank you! We will be in touch as soon as possible.