Adoption Application

Please complete the entire form and hit Submit. Once your application is received, a Basset Hound Rescue Volunteer will be in contact with you within a week. Email info@bassetrescueflorida.com with questions or follow up.

We request a donation of $200 with every adoption which includes the spay or neuter surgery, microchip & registration, current vaccinations, and heartworm test. This donation covers the boarding and medical expenses incurred on all rescues, not just one.

Name of the Basset Hound you're considering*

Your Name*

Your Address*

Home Phone Number*

Cell Phone Number*

Your Email Address*

Occupation*

Place of Employment*

Are you adopting for yourself?*
YesNo

Have you ever had a Basset Hound?*

List the name(s), age(s), and relationship to you of all person(s) living in your home:*

Which member of the family will be taking the major responsibility of caring for this Basset Hound?*

Is anyone home during the day?*
YesNo

Where do you plan on keeping your Basset Hound while you are away from home?*

Has EVERY person living in your home been around a dog before for extended times without experiencing allergy symptoms?*
YesNo

What type of home do you live in?*
HouseApartmentCondoOther

Does your association permit pets and, if so, what are weight restrictions, number of pets, etc.?*

If you rent, do you have permission to have pets from your landlord?*
YesNo

If you rent, may we contact your landlord to confirm permission to have pets? If so, what is your landlord's contact information?*

Please list each pet you currently have living in your home, along with their name, age, breed, sex, neutered or spayed, up to date on vaccinations and current on heartworm/flea and tick prevention:*

Please list the name and breed of any pet you have had in the last five years? Also list why they are no longer in your care:*

Please provide the name, address, and phone number of any veterinarian that has treated your pets in the last five years:*

Do you have a fenced in yard?*
YesNo

Do you have a fenced in pool?*
YesNo

Do you have a screened patio?*
YesNo

What type of floor coverings do you have in the areas where the Basset Hound will be staying?*

If you live in an apartment or condo, what floor do you live on?*

Have you applied to adopt a dog from any rescue within the last five years? If so, please list the name of the rescue, the location of the rescue and whether you were approved to adopt from them:*

Have you ever turned in an animal to animal shelter? If yes, why?*

Have you ever put a pet to sleep for any reason? If yes, why?*

If you have current pets, what are your plans to introduce your new Basset Hound to them?*

What steps will you take if your new Basset Hound has a hard time adjusting to your current pets?*

How will you housetrain your Basset Hound?*

How long do you think it will take for your new Basset Hound to adjust to his/her new home?*

What will you do if your new pet has a hard time adjusting to his/her new home?*

Are you planning on adding a child(ren) to your family? If so, when?*

What are the plans for your Basset Hound if your family situation changes (divorce, separation, or move)?*

If you can no longer care for your Basset Hound, who will care for him/her?*

What is it about you that makes you an awesome parent for one of our Basset Hounds?*

Please list two personal references (name, address, relationship to you, and phone number):*

Please use this space to tell us anything you would like us to know and/or any questions you want us to answer:*

By typing your name in this box, you certify that all answers you have provided are true, correct, and complete. You hereby authorize your veterinarian to give Basset Rescue of Florida, Inc. any and all information requested about present and past pets. You are also authorizing Basset Rescue of Florida, Inc. to contact any person(s) listed on this application.*