What is the name of the dog you are applying for?*
What is your birthdate?*
Your Spouse's Name
Your Spouse's Last Name
Is your spouse or domestic partner on
board with this adoption?*
Apt. # or Suite
Why do you want to adopt this pet?*
Do you have experience with basset hounds?*
Do you have children? If yes please list their
names and ages:*
Have your children had pets before?
Who will be responsible for pet's
daily care? *
Have you ever owned a pet?*
If yes, for how long?
Have you ever given up a pet?*
If yes, why?
Please list the name, breed/type,
sex, age and whether altered or not
of any pets living in your household:
Please inform your veterinarian that we may be contacting them and give them permission to speak with us.
Veterinarian Name/Business and phone number:*
Please inform your references that we may be contacting them and give them permission to speak with us.
Please provide two personal references with contact info (phone # & email): (PLEASE DO NOT LIST FAMILY MEMBERS OR OTHER RELATION AS A REFERENCE.)*
What type of area do you live in?*
Do you rent or own your home?
If renting, are pets allowed?
If renting & pets are allowed, what is
your landlord's name & number?
(This may act as one personal
How long have you lived at this residence?*
Do you have a yard?*
Does your yard have an above ground fence with a latching gate?*
Do you have an in-ground pool or pond?*
If yes, is the pool/pond fenced separately?
Will your pet live inside the home or
outside? Why? *
How many hours will the dog be left alone on a typical weekday?*
Please describe the location where
the pet will be kept when no one is home.*
On a typical day, how much exercise
will your pet get & how? *
If your pet is a puppy, how do you plan
to housetrain him/her?
Have you considered the damage that
a puppy/dog can do? (e.g. soiling,
biting/scratching, chewing, etc.) *
Have you ever taken a pet through
formal obedience classes or consulted
a pet behaviorist?*
Would you consider this for your new
Are you aware that, assuming your pet
does not have any unusual medical
conditions, yearly costs can be over
$600 for the annual check-up,
vaccinations, heartworm control, flea
control and proper feedings?*
Are you aware that you are making up
to a 15+ year commitment?*
What would happen if a family
member or friend were to develop pet
Are you willing to let us visit you at
home during or after the adoption
takes place? *
Do you agree to seek approval from Buckeye Basset Hound Rescue
before any transfer of the pet ownership for whatever reason?
Do you agree that ownership of the pet must be transferred back to Buckeye Basset Hound Rescue in the event you cannot keep the dog, for whatever reason?*
By clicking the Submit button below, I certify that:
- The information I have given is accurate
- I understand that Buckeye Basset Hound Rescue has the right to deny any application for whatever reason
- I give permission for Buckeye Basset Hound Rescue to call the references and veterinary practices I have listed
Please type your initials and date as a digital signature.*