Adoption Application - BARREN RIVER ANIMAL WELFARE ASSOCIATION

Name or ID number of animal you are interested in?

Are you 21 or older?*

Yes

Name*

First

Last

Address*

Street Address City State Zip Code

Phone Number*

Email*

House or Apartment*

Rent or Own*

Landlord Name or Company (Required if you Rent)

Landlord Phone Number

Will the animal be inside or outside?*

Fenced Yard?*

How many adults are in your home?*

How many children are in your home?*

Ages of children?

If there are any children in the home, are you prepared to not only train the animal but to prepare the child for the responsibility and how to respect an animal and their space, keeping in mind most children are bit because of lack of knowledge?*

Are you willing to commit to this animal's full life span, keeping in mind the average lifespan of any pet is 15 years?*

On average, how much time will you be able to spend with your pet each day?*

Name, gender & breed of animals that currently live with you or visit regularly *

Are your animals current and up to date on all vaccines and Rabies Vaccination as required by KY Law?*

Veterinarian clinic that you use or will use*

Veterinarian Phone Number*

I give permission for my adoption picture to be used as social media & marketing material for BRAWA.*

Electronic Signature*

If you do not have an exact dog or cat you are wanting to adopt, please let us help you by filling out the following questions -

Are you willing and open minded to let our adoption counselors help you find the best pet for you and your current home situation?

Are you looking for a cat or dog?

Do you prefer male or female in your new pet?

Are there any color preferences?

What age of pet do you prefer?

What size of pet are you looking for?

What type of training are you willing and able to do for your new pet?