If no, please provide the name and contact number of landlord:
Please list the name and age of ALL occupants in household (including yourself):
List each of your current pets including breed, age, still living with you? (If not, why?)
Please note that BarkVille Rescue does not allow our dogs into homes where any of the current pets are not spayed or neutered
Who is your current or most recent veterinarian (if applicable)?
Please call your vet and give permission to release information as many will not give us a reference without your call, and we will not be able to process your application
If yes, please complete this information:
Please provide 3 personal references (only 1 can be a relative) that can testify to your responsibility and ability to care for your animals. This is required or your application cannot be approved: