Puppies Behind Bars Released Dog Adoption Form

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Because the standards for our service dogs and explosive-detection canines are so high, some dogs do not complete the program for either behavioral or health reasons. These dogs will be released as pets for a charge of $8,000, and $4000 for volunteers.

Applicant Information

Salutation

First Name

Last Name

Birthdate

Street Address

City

State/Province

Zip/Postal Code

Country

Preferred Phone

Alternate Phone

How did you hear of PBB?

What is the best time of day to reach you?

Dog Preferences and Further Details

Dog gender preference

Dog color preference

Dog activity level preference

Are you willing to take a 5+ year-old dog?

Yes
No

For what function do you want a dog?

Other function desired :

Is the fee requirement a problem?

Yes
No

Can you pick up your puppy in NYC?

Yes
No

Is there anything else we should know about you or your family so that we can appropriately match a dog with your needs/wants?

Personal References

Please provide the names and phone numbers of two people you would like to use as character references.

Reference #1 Name

Reference #1 Phone

Reference #1 Email

Reference #2 Name

Reference #2 Phone

Reference #2 Email

I give Puppies Behind Bars consent to call me at the phone number I provided to ask any additional questions they may have regarding this application. I give my consent to Puppies Behind Bars staff to speak with my personal references as a part of this application process. I understand that any information my references share with PBB staff is confidential and that Puppies Behind Bars will not share those details with me or any third party.

Yes, I give my consent.

PLEASE NOTE:

Every new owner will be required to sign a form saying that you will never sell or give away the dog but will return it to Puppies Behind Bars should your circumstances change, and you are unable to properly keep the dog. If you do return the dog due to the above-mentioned, Puppies Behind Bars will reimburse the purchase price of the dog. You will also be asked to submit a form annually telling us how the dog is doing.