Adoption Application

Thank you for your interest in Basset Hound Rescue. The first step to the adoption process is to fill out an online adoption application via our web site. The application will come to us through our email and we will then contact you for a preliminary phone interview and to check your references. The one thing that we want you to know is that our process is not quick. We take our time with the screening, checking references and most importantly, the home visit.

Please understand that it is very important to fill out the adoption application in detail and provide names and phone numbers of your veterinarian and local animal control officers. Please also give your veterinarian permission to speak with us.  Some people get frustrated with our process but the way we look at it is “this is the dog’s second chance“ and we have to be sure that the dog and humans will be a good match.

We look forward to receiving your application. Please let us know if you have any questions.

New England Basset Hound Rescue Adoption Team

adoptions@newenglandbassethoundrescue.org

 

 
**If you experience any problems with the application form below, please notify us with a detailed account of the issue you’ve encountered at this address:
nebhrweb@gmail.com

 

 
**Please fill out an adoption application ONLY if you have made the decision to adopt a new family member. A lot of time is spent screening applications, doing home visits and checking vet references. We request that you only submit an application AFTER you have made the decision to adopt and hold off if you — or any family members– are just in the initial ‘thinking’ stage of adoption.**

Adoption Donation: $250 for dogs age 8.1 and older; $350 for dogs 2.1-8 years; $400 for dogs 0-2 years. Please note that a $50 transport or quarantine fee may be added if applicable.

Name (First and Last)

Address

City

State

Zip Code

Email

Home Phone

Work Phone

Cell Phone

Preferred Number

Referred by

Are you planning a move or vacation in the near future, and if so, when?

Do you own or rent your home?
Please indicate rent or own. If you rent, please list landlord's name and phone number

Type of Dwelling

Do you have a fenced in yard? (not a requirement)

Have you owned a dog before?

If so, what breed(s)

Have you owned a Basset before?

Have you applied to adopt or adopted from us before?

What type(s) of pets have you owned during the past 5 years?

If you no longer have the above pet(s) please explain what happened to them

How many cats do you have

How many dogs do you have

Are you pets spayed/neutered?

If pets are not spayed/neutered, please explain why.

Do you plan to let your dog have puppies?

Do you plan to let your cat have kittens?

How many hours will the animal be left alone?

What inoculations has your pet had in the past year?

Which member of your household will hold primary responsibility for training, feeding & general care?

Please tell us why you would like to adopt a basset. Check all that apply.  Companion Gift To Breed For Hunting To Sell As A Watchdog Personal Protection For A Child Companion for Another Pet Pet for Someone Else

Reasons for wanting to Adopt. Please Explain

How much do you anticipate spending yearly? Feed, vaccinate, license and provide medical care for your dog?

Who is The Animal Control Officer (ACO) for your town?

Have you ever put an animal up for adoption?

If yes, what was the reason?

What is The Animal Control Officer's phone number?

Has your pet ever been impounded?

If yes, what was the reason

How do you plan to prevent behavioral problems such as barking?

Where will you exercise the dog? Check all that apply.  Fenced in yard or run Tied Walked on a leash Run Free

Chewing?

It may take your pet two weeks or longer to acclimate itself to your home.
Are you prepared to allow this much time to adjust?

Not Being Housebroken?

Dogs often live longer than 15 years.
Are you ready to take the responsibility for the pet's entire life?

How many adults in household?

How many children in household?

Ages and sex of children?
To families with very young children: Please be aware that we get very few bassets that are suitable for placement with children under 5 years old. We will only place bassets that have previously lived with young children into homes with children under the age of five. Many of our dogs come to us as strays and we have limited knowledge of their background. Therefore, we can not feel confident as to how they will react to living with infants/toddlers.

Is anyone home during the day?

How do family members feel about getting a basset?

Is anyone in the home allergic to dogs?

Are you willing to housetrain the dog if necessary?

Where will the dog be kept during the night?

Where will the dog be kept during the day?

Where will the dog be kept when you are not at home?

Are you established with a vet?

If not, please provide details of how the medical needs of pets in your care will be met.

Vet Clinic

Phone number

Are you willing to have a home visit prior to adoption?

Please tell us your preferences for your adopted basset.

Age

Sex Preferred

If there is a specific dog you are interested in, please list it here.
Note that this is not a guarantee for adopting the dog.

Have you applied to adopt with any other rescue organization?

If yes, please list the name of the organization and your status with them.

Do you have any additional comments or questions?

If you are approved to adopt a basset from NEBHR, are you ready to take responsibility for the pet's entire life?

If NO, then please specify when:

NEBHR, Inc. is registered in the State of New Hampshire.
"NEBHR retains the exclusive right to investigate, approve or reject each applicant. Stringent criteria must be met by each applicant to insure that each dog is placed in an appropriate home. The placement of every dog with adoption owners remains within the sole discretion of NEBHR, and specific reasons for approval or rejection are not required."

By Submitting this Form, I agree that all the above information I have provided on this application is, to the best of my knowledge, true and complete and permission is granted to New England Basset Hound Rescue, Inc. to call any references I have included on my application. I also grant permission to NEBHR in obtaining up to date records from the vet reference I have specified on this application. I understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies me from adoption.

I Agree

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