TENNESSEE To New England! Email: [->0] Baker Bridge Rescue ~ Adoption Application

Please Note: We are committed to matching the right dog to the right family so all will have many happy years together. Our adoption process includes the completion of an application, phone interview, veterinary reference, adoption fee and contract. The standard adoption fee is $450, and will be billed to you via Pay Pal after your application is approved. You must be at least 18 years old to submit this application. The application is the first step in the process, and the fastest way to begin the process is to submit your completed adoption application via email to [->1][->2]

Date: Name of Desired Pet: First Name: Last Name:

Co-Applicant:

Street Address: City: State: Zip:

Home Phone: Cell/Other Phone:

Email Address: Best Time To Contact:

Place of Employment: Work Phone:
How did you hear about Baker Bridge Rescue?

Why do you want a rescue dog?
How far are you willing to travel to pickup your rescue dog?

Please list all members of your household:

HUMANS (names & ages):

DOGS (name, gender, age, breed, altered?):

CATS (name, gender, age, breed, altered?): OTHER PETS (type, name, age?):

Do all household members want to adopt a dog? YES / NO

If there are no young children living in your home, will your rescue dog have regular contact with any under the age of 10? YES / NO
If yes, describe
If there are no other animals currently living in your home, will your rescue dog have regular contact / socialization with others? YES / NO
If yes, describe

Do you own or rent your home?