Basset Hound Rescue League Adoption Application
Last Name:_________________________________
First Name:___________________________
Street Address:________________________________________
City:______________________________ State________________ZIP:__________
Day phone:____________________ Evening phone:___________________
Cell phone: _____________________
How did you hear about BHRL?
TELL US ABOUT YOUR HOUSEHOLD:
How many adults? ____ What kind of hours are worked?
Will anyone be at home in the day?________ at night? ________
What are the ages and sex of any children?
How do other family members feel about getting a Basset?
Do you own____ or rent____ your home?
Type of home? (Circle one)
Single family Apartment Condo Other _______
Is anyone in the house allergic to dogs?
TELL US ABOUT OTHER PETS:
Do you presently own any other animals? Please tell us what type, the breed, sex, how long you have had the animal and if it is altered.
Have you ever owned a dog before? ______ a Basset? _____
Have you ever taken a dog to a basic obedience course?
Did you pass?
If not, what happened?
Have you ever had a dog euthanized (put to sleep)?
Why?
WHY A BASSET HOUND?
Why would you like to have a Basset in the family?
What do you like about Bassets?
What do you dislike about Bassets?
Have you read any books about Basset Hounds or dogs in general? Which ones?
THE BASSET'S LIFE:
Do you have a fenced area or yard for the dog?
Please describe the fence, and give approximate dimensions
(height of fence, size of area enclosed).
If you do not have a fenced area for the dog, what arrangements will be made for the dog's exercise and toilet duties?
Are you willing to house-train a dog, if necessary?
Where will the dog be kept during the day?
At night?
When you are away from home?
Name of your veterinarian?
Phone Number and Address of veterinarian: _____________________________
May we contact your vet for a reference? ______
May we have a personal reference, preferrably another dog owner?
Name
Phone
All the information I have provided on this application is, to the best of my knowledge,
true and complete. I understand that falsifying answers on this application, or at any
other time during the application process disqualifies me from adoption.
Signature: _____________________________________________Date:______________
Please return this completed and signed application to:
BHRL
P.O. Box 44201
Fort Washington, MD 20744
Date of interview_________________ Approved by
Comments ____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
BHRL Adoption information
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