For quickest processing, please upload 1–3 quality digital photos of the dog.
File to upload:
File to upload:
File to upload:
Contact Information:
Primary Email Address:
Secondary Email Address:
Your Full Name:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
How long have you been caring for this dog?
Are you the owner of this dog?
If you FOUND the dog, please indicate WHEN & WHERE:
Have you contacted your local shelter/Animal Control about this dog?
(If you have not, please do so in case the owner is looking for the dog.)
Please explain the reasons why you are trying to re-home this dog:
How long are you able to foster the dog while receiving assistance in finding him/her a home?
Have you contacted other shelters, rescues about this dog?
Have you posted fliers or other advertisements about this dog?
Have you tried to find another person(s) to foster this dog while a rescue group assists with the rehoming process?
Are you available to bring the dog to Richmond for a meeting if BARK can arrange a day and time with you in advance?
Do you need assistance with getting digital photos of this dog?
Canine Information:
Dog’s Name:
Size:
Breed or breeds (if unknown, a guess is fine):
Age:
Gender (male/female):
Color(s)/Description:
Weight:
Height (from floor to top of head when sitting):
Medical History:
Is the dog Spayed (female) or Neutered (male)?
Does the dog have any medical issues at this time? (rashes, special diet, medication, supplements, baths, etc.)
Rabies vaccination date: (indicate when next shot is due)
Distemper/ DHLLP-C vaccination date: (indicate when next shot is due)
Month & Year of last heartworm test:
Month/Day/Year of last heartworm prevention medication (heartguard, etc.):
Month/Day/Year of last flea/tick preventive:
Name & Contact Phone Number for any veterinarian* who has treated this dog within the last 2 years — along with the name of the owner that the dog’s record will be under:
*Please initial indicating that you give us permission to contact the veterinarian to verify medical information on your dog.
(initials here)
If needed, are you available to transport the dog for basic veterinary service? (spay/neuter, rabies, distemper, heartworm)
Are you able to help cover any medical fees that BARK would incur while assisting you in rehoming this dog?
Temperament Information:
How many hours a day is the dog used to being alone?
What kind of other animals has the dog been around? (male dogs, female dogs, indoor cats, outdoor cats, birds, livestock, horses, other)
Does the dog get along well with other dogs? Cats?
Has the dog ever bitten anyone (adults, kids, cats, other dogs, other animals)?
Has the dog ever snapped at anyone (adults, kids, cats, other dogs, other animals)?
If YES to ANY of the above, please detail the circumstances surrounding the snap or bite.
Does the dog know any commands? (sit, lie down, come, fetch, stay, no, etc.)
Have you noticed anything that scares the dog?
(men, thunder, vacuums, large trucks, water, hands, fireworks, children, brooms, other)
What kind of people has the dog interacted with?
(adult men, adult women, senior citizens over 60, young children, infants, toddlers)
How is the dog around children? (friendly, gentle, playful, jumpy, snappy, too active, does not like, afraid, or has never been around)
Describe how the dog behaves on a leash:
Environment History:
Describe where the dog is spending the daytime hours:
Describe where the dog is spending evening hours and sleeping:
Is the dog able to stay in a fenced area without escaping? If YES, how high was the fence?
Has the dog been in a crate? If YES, please describe how the dog behaves in the crate.
Does the dog appear to be housebroken? If YES, what leads you to think s/he is housebroken?
Does the dog have any habits that you feel a new family should know about prior to adopting him/her? (digging, chewing, etc.)
What are the dog’s favorite activity and/or favorite toy:
Please describe the type of person or family you see as the best & safest home for this dog.
Your initials here act as your signature and indicate that the information on this application is true to the best of your knowledge.
(initials)
If you are able to place this dog with another rescue group, please email us to let us know so that our efforts can continue to focus on dogs that need our assistance. We will respond to your emailed application within 7 days. To check the status of an application, please call (804)449-BARK (2275), extension 3.
