First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Cell Phone*
What type of house do you currently reside in?*
Do you currently rent or own your home?
If you rent, does your landlord allow dogs?
If you rent, what is the weight/ size limit on dogs that are allowed.
Do you have a yard that is fenced?
Please describe your yard:
How many adults live in your home?*
Does anyone in your household have an allergy?*
Which family member will be the basset's primary caregiver?*
How many hours a day will the basset be left alone?*
How close is your nearest neighbor?*
Will this be your first pet? If not, what pets have you previously or do you currently own?*
Are your pets spayed or neutered?*
If you currently have a pet, we contact your vet for a recommendation. If you have a vet, please provide their name, phone number, and the name by which they know your pet. Also: Please let them know we will call and give the ok for them to talk with us.*
Why do you want to adopt a basset hound?*
Which of our basset hounds are you interested in? Choose an animal: Gus Sasha
If you don't have a current basset in mind, do you prefer male or female bassets?
What age basset do you prefer? Choose one: 0 - 1 2 - 3 4 - 5 6 - 7 8 - 9 10 +
In the event that you are unable to keep your basset, do you agree to return them to the rescue?*