Peabody Basset Hound Rescue
	Application For Adoption

A successful adoption depends on the selection of the right basset for your household. So that we may assist you with this selection, please answer the following questions as completely as possible. Please remember that we are an organization made up of volunteers, all of whom lead busy lives. We will respond to your application as quickly as possible, but there may be some delay. Please don't think we have forgotten you! You are important to us and we will be in touch! Please complete this form and click on Submit to send. If you prefer, you can print out this application and mail to: Peabody Basset Hound Rescue 117 51st Street Savanhah, GA 31405 Name(s) of Applicant(s): Address: City: State: Zip: Home Phone: Work Phone: Fax Phone: Email address: Have you owned a dog before? Yes No If so, what breeds: What happened to the dog(s)? Age preference: From years old To     years old             I am looking for a ? No Preference Male    Female                   I am willing to housetrain a dog. Yes    No                              Do you have children in your home? Yes   No If so, what are their ages? Do all members of the family want to adopt a basset hound? Yes No    If not, please explain: I live in a House Condo         Apartment Mobile Home   If Condo or Apartment Upstairs Downstairs Is property completely fenced? Yes No              Partially    Do you have a doggy door? Yes  No    Where will the dog be kept during the day?   Where will the dog sleep night?   Are you interested in fostering? Yes No

We have the following pets living with us now Pet Name Breed Altered Sex Age Yes   No Male   Female Yes   No Male   Female Yes   No Male   Female Yes   No Male   Female

How did you learn about Peabody Basset Hound Rescue?

Any other pertinent information?

By sending this form to Peabody Basset Hound Rescue I agree that:

1) All of the information provided is true and complete to the best of my knowledge.

2) If the adoption doesn't work out for any reason, I agree to return the dog to the Peabody Basset Hound Rescue.