NORTHWEST BLOODHOUNDS BREED RESCUE
The answers you give on this application will help us to find the best possible match between you and the bloodhounds available through NORTHWEST BLOODHOUNDS BREED RESCUE ASSOCIATION. Please fill out the form completely and return it with $1.00 processing fee to the address at the bottom of this page. Please provide a phone number on this application.
Name:††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Home Phone:
Address:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Work Phone:
City:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† State:††††††††††††††††††††††††††††††††† Zip:
Best time to call:†††††††††††††††††††††††††††††††††††††††††††††††††††† Occupation:
Personal Reference: Name:†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Relationship
Phone:††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Email Address:
Do you own or rent your residence†††††††††††††††††††††††† If rent, do you have landlordís permission to keep a dog?
Landlordís name and phone number:
Do you live in a (circle one) ††††† house††††† apartment††††† trailer††††††††† other (describe)
How long have you lived at this address?
If less than one year, give previous address
Do you have a fenced yard?††††††††††††††††††† List fencing height and type
If no fence, how will you handle the dogís exercise and toilet duties?
Do you have a separate kennel run?††††††††††††††††††††††† List height and size:
How many adults in household?††††††††††††††††† How many children?†††††††††††††† Age and sex of children:
Are there regular visitors to your home, human or animal, with which your dog must get along?
Do you own other dogs?††††††††††††††††††††† Are they spayed/neutered?
Give breed, sex and age of each:
Do you own cats?†††††††††††††††††††† How many?††††††††††††††††† Do you own any other animals?
Do you have a regular veterinarian?†††††††††††††††††† Give name:
Address and Phone:
How many dogs have you owned in the last five years?
Give breed and list if you still own the dog/s
If not, what happened to dog (be specific)
Have you owned a Bloodhound before?
Why did you choose this breed?
List all plans for this dog (circle)††††††† pet††††† guard†††† hunting††††† obedience†††† search & rescue††† tracking††††††††††
Do you want to adopt (circle)†††††††† Male††††††††††††††††††††† Female†††††††††††††††††† No Preference
Color preference††††††††††††††††††††† Age preference
I have marked my preferences on the other side, but would be willing to consider a suitable dog of a different (circle one)††††††††††† sex†††††† color††† age.
Where will the dog spend the day? (circle what applies)†††††† Loose indoors†††† Crate††† basement†††† garage††††††
fenced yard††††† loose outdoors††††††† tied up outside††††††† kennel run†††††††† other (describe)
How many hours, on the average, will the dog spend alone?
Where will the dog spend the night (circle what applies):††††††† Loose indoors†††††† Crate††† Basement†††††††† Garage
Fenced yard††††††† Kennel run††††† Loose outdoors†††† Tied up outside††††† Other: (describe)
Do you agree to license this dog and give regular health care?
Do you agree to contact NORTHWEST BLOODHOUNDS BREED RESCUE if you can no longer keep this dog?
Would you be willing to let a representative of NORTHWEST BLOODHOUNDS BREED RESCUE visit your home by appointment?
If no, why?
How did you hear about NORTHWEST BLOODHOUNDS BREED RESCUE?
NORTHWEST BLOODHOUNDS BREED RESCUE is a non-profit organization that finds new homes for Bloodhounds. If we are successful in matching you with a Bloodhound, we would appreciate a tax deductible donation. From these donations, we can help other Bloodhounds in need.
All the information I have given above is true and complete. This Bloodhound will reside at my home as a pet. I will provide it with adequate food, water, shelter, training, affection and medical care. I understand that it is my responsibility to see and evaluate the dog for myself before agreeing to adopt it. I am in full agreement with these terms of adoption. NORTHWEST BLOODHOUNDS BREED RESCUE is in no way liable or responsible for any damage, accident or injury resulting from placement of a Bloodhound into my household.
Applicant Signature†††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† Parent co-sign if applicant†††††††††††††††††††††††††† Date
††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††††† ††††††† is under 18 years of age†††
Thank you for contacting NORTHWEST BLOODHOUNDS BREED RESCUE ASSOCIATION. One of our committee members should be contacting you shortly after receiving your paperwork. If you have not received a response (by phone, mail or email) in 10 working days, call 3425-741-3609.
Please mail this form and $1.00 non-refundable deposit for processing to:
NORTHWEST BLOODHOUNDS BREED RESCUE
15732 40th Ave. West
Lynwood, WA 98036
E-Mail: firstname.lastname@example.org or email@example.com