NORTHWEST BLOODHOUNDS BREED RESCUE
ADOPTION APPLICATION

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?

Describe:

_____________________________________________________________________________________________________________________________________________________________________ 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 other (describe): 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: nwbra80@hotmail.com or riverbank@aone.com

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