PLEASE NOTE: All applications must have $8.00 attached. This donation may be paid by money order, check, or PayPal (the link to PayPal is below). Due to the overwhelming amount of applications we receive, and the time we spend on each one, plus phone calls, etc., it has become necessary to require this small donation. We will send receipts upon request, of course.

Date: _______________________________ Rescue Dog # ____________

ONLINE ADOPTION APPLICATION

Name: _________________________________________________________________________________________

(Husband and Wife, if married)

Address: ________________________________________________________________________________________

City: __________________________________________ State: _______________ Zip: _______

Home phone: ________________________ Work phone: ________________________ Work hours: _____ to ______

Email address: ___________________________________________________________________________________

Referred by: _____________________________________________________________________________________

A successful adoption depends on both the selection of the right basset for your household and the understanding of his/her caretaking needs. So that we may assist you with this selection, please answer the following questions as completely as possible. Thank you.

Your Occupation: _________________________________________________________________________________

Do you own or rent your home? ______________________________________________________________________

Type of dwelling (circle one): House / Condo / Apartment / Mobile Home

NOTE: IF YOU RENT, PLEASE SUBMIT A COPY OF RENTAL AGREEMENT WHICH ALLOWS DOGS.

Do you have a fenced area or yard for the dog? __________________________________________________________

If yes, type of fence: _______________ Length ______________ Width ______________ Height ____________

If not, what arrangements will you have for the dog's exercise and toilet duties?

________________________________________________________________________________________________

Have you ever owned a dog before? ____________ If yes, what type of breed(s)?: _____________________________

Have you ever owned a basset hound before? ____________ Why do you want to own a basset?:

________________________________________________________________________________________________

Do you presently have other animals?

_________________________________________________________________________________________________

 How many adults in household? ______________ How many children? __________________

What are the ages and genders of children?

____________________________________________________________________________________________

How do other family members feel about getting a basset?

______________________________________________________________________________________________

REFERENCES: