3443 N Parkway Adoption Application
Box 31
Fresno CA 93722 Please print, complete and mail to: Basset Rescue of Central California BRCC
Name:___________________________________Date _________________________
E-mail Address:_________________________________________________________
Home Address:_________________________________________________________
City __________________________ State_________________________ Zip_______
Home Phone:___________ Work Phone___________ Work Hours_______ to ________
Referred by: ____________________________________________________________
A successful adoption depends on both the selection of the right Basset for your household and the understanding of his/her care taking 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? _____________________________________________
Type of Dwelling? House_____ Condo_______ Apartment ______ Mobile Home _______
Do you have a fenced area or yard for the dog? _________________________________
If yes, type of fence ___________________ Length __________ Height _____________
If not, what arrangement will you have for the dog's exercise and toilet duties? __________
______________________________________________________________________
Have you ever owned a dog before? _____________ Breed(s)? ____________________
Have you ever owned a Basset Hound before? __________________________________
Why do you want to own a Basset? ___________________________________________
Do you presently have other animals? _________________________________________
If so, please state type, breed, gender and if spayed/neutered: ______________________
______________________________________________________________________
______________________________________________________________________
How many adults in the household? ________________ Children? __________________
Ages and genders of children? ______________________________________________
How do other family members feel about getting a Basset? _________________________
Is anyone home during the day? _________________ At night? _____________________
Is anyone allergic to dogs? _________________________________________________
Where will the dog be kept during he day? _____________________________________
At night? ___________________ When you are away from home? __________________
Do you have a doggie door?________________________________________________
Would you be willing to housetrain a dog? _____________________________________
Are you established with a vet? ________ Who? ________________________________
All of the above 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.
___________________________________Date ______________________________
Signature of Applicant
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