Foster a Basset!

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About You and Your Family

First Name:
Last Name:
(opt.) Spouse/Partner Name:
Email:
Street Address:
City:
State:	Zip:
Phone:	Cell:
	Household Information:
Number of Adults:	Number of Children:
Ages of Children:
How do other family members feel about adopting a Basset?
Pet related allergies in home?	Yes \| No
If yes, what adjustments will be made to live with a dog?
Basset Experience:	Have one now \| Had one in the past \| Never had one
If you have ever had to give a dog up, please explain the circumstances:

List any previously owned pets, and if deceased, cause of death:

Please describe your schedule(s). How many hours per day are you away from home for work/school, etc.

Please fill out all six of the above tabs before submitting!

Find The Right DogYour preferences about the Basset you wish to adopt. Please note that we seldom see very young puppies in rescue and cannot maintain a waiting list for them.

Age Preference:	< 2 Years \| 2-6 Years \| 7 Years > \| No preference
Sex Preference:	Male \| Female \| No preference
Special Needs Basset:	Would consider \| Would NOT consider
If Yes, Which Types: (check all that apply)	Vision Problems Hearing Problems Special Medical and/or Medication Needs
Basset Mix:	Would consider \| Would NOT consider
Personality Preference:	Playful/Energetic \| Quiet/Sedate \| No preference/Unsure
Specific Dogs of Interest:
Please note: The dog you request may not be available at the time of your application, but we have many wonderful dogs in need of loving homes.

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Your Home

Rent or Own:	Rent \| Own
If Renting:	Landord has approved pet \| Not yet approved
Landlord/Agency Name:
Landlord/Agency Phone:
Type of Dwelling:	House \| Condo \| Apartment \| Mobile Home
Securely Fenced Area for Dog:	Yes \| No
If yes, type of fencing (wood, chain link, etc.) and approximate area size and fence height:
If no, what arrangements will you have for the Basset's exercise and toilet duties?
Do you Have a Dog Door?	Yes \| No
Please list any pets currently in your home. Include breed, sex, age, whether spayed/neutured and how long you've owned the pet:

Where will your dog(s) stay while you are away during the day? (check all that apply)	In the yard In a dog crate in the home In the garage In the house, confined to an area In an outdoor run/pen In the house, unconfined Other: please indicate where dog(s) will stay while you are away during the day:
Where will the dog(s) sleep at night? (check all that apply)	In the yard In a dog crate in the home In the garage In the house, confined to an area In an outdoor run/pen In the house, unconfined Other: please indicate where dog(s) will sleep at night:

Please fill out all six of the above tabs before submitting!

References

Established with a vet:	Yes \| No
If Yes, Vet Clinic Name:
Address:
City:
State:	Zip: Phone:
Name On Account:
Please provide us with two personal references. Reference #1:
Name:
Address:
City:
State:	Zip: Phone:
Reference #2
Name:
Address:
City:
State:	Zip: Phone:

Please fill out all six of the above tabs before submitting!

Checklist

If you decide to adopt, there is a 14-day trial period with the dog. If at the end of that 14-day period you decide for any reason that you cannot keep the dog, do you understand that the Basset must come back to BellyRubs and your money will be returned?	Yes \| No
Upon adoption: Do you agree to provide necessary medical care, to include yearly vaccines and keeping the Basset on heartworm preventative and flea/tick control?	Yes \| No
Upon adoption: Do you agree to keep a collar with rabies tag and the provided BRBR tag on the dog at all times?	Yes \| No
Upon adoption: Do you agree to contact BRBR immediately if the dog becomes lost or stolen so that we may aid in the search?	Yes \| No
Upon adoption: Do you agree to return the dog to BRBR if you should ever decide that you can no longer keep him/her? Additionally, do you agree not to transfer the dog to anyone else without prior permission from BRBR?	Yes \| No
Upon adoption: Do you agree to notify BRBR of any future change in your address?	Yes \| No
Upon adoption: Do you agree not to stake, tie or chain your Basset in any manner?	Yes \| No
Are you over 21 years of age, able to engage in a binding agreement, and financially capable of providing necessary veterinary care for the Basset you adopt?	Yes \| No
Do you agree that this is a binding contract, that the laws of Tennessee apply to it, and that the only proper venue for any cause of action is Knoxville, TN.?	Yes \| No
Please tell us any additional information that you feel might help in the adoption process. This is your chance to let us know about yourself, your past/present pets, or your feelings about being a pet owner in general:

Please fill out all six of the above tabs before submitting!

Submit Application

We’d like to list some well-known facts/traits about the Basset Hound, especially for those who’ve never had the privilege of being owned by a Basset……. Bassets are not small dogs, they just have short legs. Bassets, with their long ears and flappy lips, can be messy, and are known to drool at times. The Basset voice, barking or howling, can be loud and insistent. Bassets can have a very distinct hound body odor. Bassets do shed, some more than others. The trademark long Basset ears are prone to infection if not kept meticulously clean inside and out. Bassets are true scent hounds and therefore must be kept contained by a fence or on a leash at all times. Once they put their nose to the ground following a scent, they forget about everything else, including their own safety. Allowing them off-leash could mean certain disaster. Bassets are NOT slow movers, as portrayed in the media! Bassets are a loving and sensitive breed. Their greatest desire is to be kept close to their human family, enjoying all the companionship that closeness entails.
	Yes, I understand, acknowledge and accept the above Basset hound traits as I go forward with adoption
	Yes, I already have /had a Basset hound and I am well aware of these traits!
By submitting this application, you stipulate all of the information you have provided on the application is, to the best of your knowledge, true and complete. You understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies you from adoption.

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