Baywater Animal Rescue Pet Adoption Application

Fill out online or simply click here and email it to us at Info@BaywaterAnimalRescue.org. THANK YOU from Baywater and all of our animals. We can't wait to introduce you to your best friend!

* Indicates required field

Name of Applicant *

First

Last

Our tax-deductible Adoption Fee includes spay/neuter, first vaccinations that are age appropriate, deworming, microchip, heartworm and fecal testing (as applicable).

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Do you: *

Own your own home Rent your home Live with family

Date of Birth of Applicant *

Please note that if you rent, we must speak with your landlord. Please provide your landlord's name and telephone number. *

If you are interested in a particular pet(s), please provide his/her name(s):

Choice 1 *

Choice 2 *

Where will your pet be kept during the day?

Location? *

If you are adopting a cat, do you plan to keep him/her outside? *

Have you ever had to give up a pet? If so, Why? *

Mailing Address, if different *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

If you have other pets, please fill out for each pet: Name, Breed, Sex, Age, Vet's Name&Tele# *

I understand that the falsification or omission of any of the above information will result in automatic refusal of adoption or confiscation of the adopted animal- We maintain the right to refuse any application at our discretion. We maintain the right to complete a home check.. I authorize BAR to verify the validity of any information contained in this application.. Please initial in the box below to show you. have read and agree.

Please Initial *

Do you have any children? If so, how many and what ages? *

We cannot guarantee an animal’s temperament. Our Animal Care Supervisor and/or veterinarian examine all animals upon entry. Their health is routinely monitored while at the shelter but there is always a chance that an animal is incubating a disease without showing any clinical signs.

Please Initial *

Please include your email so we may contact you. Thank you. *

Please don't forget to click SUBMIT button at the bottom of this form. Thanks!

By submitting this form:

I acknowledge that I am at least 18 years of age;
I acknowledge that I have a state-issued photo ID showing my current address and age;
I have the knowledge and consent of my landlord or homeowner;
I have the knowledge and consent of all adults living in the household;
I understand that BAR reserves the right to verify any information on this application, including a property verification with landlord or homeowner and vaccination history of prior or current pets, and vet references;
I am able and willing to spend the time and money necessary to provide medical treatment and proper care for a pet;

I hereby authorize Baywater Animal Rescue to contact my landlord to verify that the information on this form is correct (if applicant is currently renting home)
I authorize Baywater Animal rescue to contact my veterinarian(s) to obtain any information needed to process my application (if applicant has additional animals at home)
I understand that Baywater Animal Rescue may not be able to adopt the animal of my choice and reserves the right to choose the best qualified home for the animal.

Please bring a photocopy of a government approved identification when you visit the shelter to finalize the adoption.

Submit

Baywater Animal Rescue Pet Adoption Application

​Please don't forget to click SUBMIT button at the bottom of this form. Thanks!

Baywater Animal Rescue​Previously Known As: The Humane Society of Dorchester County4930 Bucktown Rd, Cambridge, MD 21613Contact Us:410-228-3090​info@baywateranimalrescue.org​Hours: TUESDAY - SATURDAY 11AM-4PM​EXECUTIVE DIRECTOR: Carly StockusOPERATIONS MANAGER: Rhonda Fleming

Please don't forget to click SUBMIT button at the bottom of this form. Thanks!

Baywater Animal Rescue
Previously Known As: The Humane Society of Dorchester County

4930 Bucktown Rd, Cambridge, MD 21613

Contact Us:
410-228-3090
info@baywateranimalrescue.org

Hours:
TUESDAY - SATURDAY 11AM-4PM

EXECUTIVE DIRECTOR: Carly Stockus
OPERATIONS MANAGER: Rhonda Fleming