Adoption Application

You may fill out and submit the online form below.  Or you may download and fill out the PDF form and email it to Also you can print the PDF form, fill it in by hand, and send it to:

344 Maple Ave W Box 203
Vienna, VA 22180

Name *
Address *
Home Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
General Questionnaire
Describe the area in which you live
Dwelling type:
Do you own your home?
If you rent, does your lease permit a dog over fifty pounds?
Do you have a completely fenced yard?
Hardee Hero Hound Program
Do you want to adopt a Hardee Hero Hound? (if no, click no and proceed to next section) *
If your answer to the Hardee Hero Hound question is "yes", do you agree to the following (only required to adopt a Hardee Hero Hound):
BRGA enjoys promoting the prison training program. Would you be able to come by any of our meet and greets to "show off" your new prison trained hound?