Adoption Application

We are excited that you are thinking about adopting one of our lovable hounds! Please complete this application, as thoroughly as possible, so we can begin to match you with a basset that is right for your family. Completing the application does NOT mean that you must adopt a basset from us but it allows us to begin the process as well as allows an adoption team person to discuss available hounds with you.

Please be aware that:

• References checks are done on all adopting families.
• Each family pet (including cats) must be current on his or her vaccinations.

If you are unable to complete this form on your computer, please print & complete the PDF version and send it to our mailing address.

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Applicant Information

1. Name(required)
2. Email(valid email required)
3. Home phone(required)
4. Cell phone
5. Street address(required)
6. City(required)
7. County(required)
8. State(required)
9. Zip(required)
10. Why do you want to adopt a basset?
11. When do you plan to adopt?
12. If you're interested in a particular BBR dog, enter the name and tag number.

Household Information

1. Do you own or rent your home?
2. Own Rent
3. What type of home do you live in?
4. House Townhouse Condo Apartment Trailer
5. If you rent, will your landlord give you written permission to have a dog?
6. Yes No
7. Landlord's name
8. Landlord's phone number
9. Number of adults (18 yrs & older) in household
10. Number of boys (less than 18 yrs) in household
11. Ages of boys in household
12. Number of girls (less than 18 yrs) in household
13. Ages of girls in household
14. Is anyone in the family allergic to dogs?
15. Yes No Don't know
16. Is someone home during the day?
17. Yes No
18. If so, who?
19. Is someone home at the night?
20. Yes No
21. If so, who?
22. Number of hours per day dog would be home alone.

Yard

1. Do you have a fenced-in yard?
2. Yes No
3. If yes, what type (wood, chain link, etc.)?
4. If yard is not fenced in, I will keep the dog on a leash at all times when outside.
5. Yes No
6. If yard is not fenced, what arrangements have you made for exercise and toilet duties?
7. Which family member will be the basset’s primary caretaker?

Dogs and You

1. Have you ever owned a dog before?
2. Yes No
3. Type of dog?
4. How long ago?
5. Have you ever owned a rescue dog?
6. Yes No
7. Have you owned a basset before?
8. Yes No
9. What gender of basset are you interested in?
10. Male Female Gender doesn't matter
11. What age of basset are you interested in?
12. 6 months or younger 7 months to 7 years 8 to 10 years 11 or older Any age group
13. What color of basset are you interested in?
14. Red and white Tri-color Color doesn't matter
15. Comments about the kind basset you're interested in.
16. Are you willing to housetrain, if necessary?
17. Yes No
18. Will you take the basset to obedience classes if needed?
19. Yes No
20. Where will the basset by kept during the day?
21. Where will the basset by kept during the night?
22. Where will the dog be kept when no one is home?
23. Are you willing to use a crate to confine your dog when no one is home to supervise?
24. Yes No
25. Have you ever crate trained a dog?
26. Yes No
27. Do you have a crate available?
28. Yes No
29. Are you willing to allow a BBR representative to visit your home prior to an adoption?
30. Yes No
31. Comments

Other Pets

1. Have you ever given up a pet?
2. Yes No
3. If yes, what type and why?
4. If you have had or presently have other pets in your family, please complete the area below (up to four pets).
5. Type/breed
6. How long owned
7. Age
8. Gender
9. Male Female
10. Spayed/neutered
11. Yes No
12. Temperament
13. Dominant Submissive
14. Behavior with other dogs
15. ------------------------------------------------------------------------------------------------
16. Type/breed
17. How long owned
18. Age
19. Gender
20. Male Female
21. Spayed/neutered
22. Yes No
23. Temperament
24. Dominant Submissive
25. Behavior with other dogs
26. ------------------------------------------------------------------------------------------------
27. Type/breed
28. How long owned
29. Age
30. Gender
31. Male Female
32. Spayed/neutered
33. Yes No
34. Temperament
35. Dominant Submissive
36. Behavior with other dogs
37. ------------------------------------------------------------------------------------------------
38. Type/breed
39. How long owned
40. Age
41. Gender
42. Male Female
43. Spayed/neutered
44. Yes No
45. Temperament
46. Dominant Submissive
47. Behavior with other dogs

Basset Hound Care and Training

1. Do you have a regular vet?
2. Yes No
3. * Please note: your vet WILL be contacted to verify the vaccination status of all family pets.
4. Vet's name
5. Clinic name
6. Phone number
7. Address
8. City
9. State
10. Zip
11. Pet(s) names on Vet records
12. Family name on Vet records
13. If you do not have a current or regular vet, please submit the names of two references (excluding family members).
14. Reference #1 name
15. Reference #1 phone
16. Reference #2 name
17. Reference #2 phone

Required Agreement - Read All of the Following Carefully

1. I UNDERSTAND I AM RESPONSIBLE FOR, AND AGREE TO, THE FOLLOWING:
2. My basset will need an annual heartworm test and preventative medication.
3. I agree
4. My basset will need an annual check-up and vaccinations.
5. I agree
6. My basset will need periodic grooming, nail trims, ear cleaning, and anal glands expressed.
7. I agree
8. My basset will need plenty of exercise.
9. I agree
10. My hound is a scent hound and must NEVER be left off leash in an unsecured area.
11. I agree
12. My basset will not be allowed on a boat or near an unfenced pool without supervision including a life jacket. (Most bassets cannot swim due to their body configuration and could easily drown.)
13. I agree
14. The average cost for the first year to ‘outfit’ my dog (crate, bed, bowls, food, vet care & toys) could exceed $500.
15. I agree
16. I understand that my basset hound is a house dog and is not to live, be kenneled or chained, outside for an extended period of time.
17. I agree
18. I HAVE READ, UNDERSTOOD AND AGREE TO COMPLY WITH ALL OF THE REQUIREMENTS OF THE BASSET BUDDIES RESCUE, INC. ADOPTION STIPULATIONS AND POLICY AS LISTED HERE AS WELL AS IN THE ADOPTION POLICY STATEMENT ON THIS SITE. I AUTHORIZE THE VERIFICATION OF ANY AND ALL INFORMATION AS PROVIDED ON THIS FORM AS IT IS, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPELTE. I FURTHER UNDERSTAND THAT FALSIFYING ANSWERS ON THIS APPLICATION OR AT ANY OTHER TIME TO A BBR REPRESENTATIVE DISQUALIFIES ME FROM ADOPTIONG FROM BASSET BUDDIES RESCUE, INC. (BBR). I AM AWARE THAT SUBMISSION OF THIS APPLICATION DOES NOT GUARANTEE THAT I WILL BE APPROVED TO ADOPT A DOG FROM BBR.
19. I agree

Confirm That You're a Real Person

1. The color of grass is

 

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