Basset Hound Rescue of San Diego Online Adoption Application
Name (husband & wife if married):
Street Address:
City / State / ZIP:
E-mail Address:
Home Phone:
Work Phone:
Work Hours:
Referred by:
A successful adoption depends on both the selection of the right Basset for your house hold 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.
Do you own or rent your home?	Rent Own
Type of dwelling:	House Townhome Condominium Apartment Mobile Home
Do you have a fenced area or yard for the dog?	Yes No
If yes, type of fence:
Length X width X height (feet):	X X
If not, what type of arrangements will you have for the dog's exercise and toilet duties?
Have you ever owned a dog before?	Yes, Breed(s) No
Have you ever owned a Basset before?	Yes No
Why do you want a Basset?
Do you presently have any other animals?	Yes No
If yes, please specify type, breed, sex, age and how long owned.
How many adults in the household?	1 2 3 4 5 6 7 8 9
How many children in the household?	0 1 2 3 4 5 6 7 8 9
Ages and sex of children:
How do other family members feel about getting a Basset?
Is anyone home during the day?	Yes No
Is anyone home at night?	Yes No
Is anyone in the home allergic to dogs?	Yes No
Are you willing to housetrain the dog if necessary?	Yes No
Where will the dog be kept during the day?
Where will the dog be kept at night?
Where will the dog be kept when you are away from home?
Are you established with a veterinarian?	Yes No
Are you willing to have a home visit before adoption?	Yes No
What is your preference for sex of the dog?	Male Female Doesn't Matter
What is your preference for age of the dog?	Youngster Adult Mature Doesn't Matter
If you are interested in one of the dogs currently available please specify his/her name.
By submitting this application I certify that all of the information I have provided on this application is, to the best of my knowledge true and complete. I understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies me from adoption.

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