Please print & fill this out, sign, and mail or fax to:

Walt Partin
SCBC Rescue
1032 CR 1560
Chico, TX 76431
FAX: (817) 870-2897

South Central Bloodhound Club

Breed Rescue Adoption Application

Date:_____________________________

Name:___________________________________________________

Address:_________________________________________________

________________________________________________________

Day Phone:________________________________

Evening Phone:_____________________________

E-Mail/Fax:________________________________

How long have you lived at the above address

_____________________________

Bloodhounds, like people, are individuals. When a bloodhound is available for relocation, South Central Bloodhound Club - Rescue
has tried to observe and/or evaluate the dog so that we can give you as much information about its personality and habits as possible.
Please assist us by answering the following questions about yourself and what you expect from a bloodhound.

How did you hear about us?

__________________________________________________________________________________

What are your reasons for wanting to adopt a bloodhound?

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

___________________________________________________________________

Who is living in your house? (Please include the relationship, gender and age of each person.)

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

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Who will have the major responsibility for caring for your bloodhound?

___________________________________________________________

Is this person home all day? _____________________________

Where will your bloodhound spend most of its time?

__________________________________________________________________________________

__________________________________________________________________________________

Do you have a fenced area suitable for a bloodhound? Please describe.

__________________________________________________________________________________

__________________________________________________________________________________

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Have you previously owned a bloodhound? If so, what happened to your last bloodhound?

__________________________________________________________________________________

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What pets have you previously owned?

__________________________________________________________________________________

__________________________________________________________________________________

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Did any cats or dogs owned by you ever produce a litter?

_____________________________

What pets currently reside with you? (Please include type, sex, and age)

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

How will you exercise the dog?

__________________________________________________________________________________

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Would you obedience train the dog? _____________________________

Would you train it for trailing or tracking?

_____________________________

Please list the name of the veterinarian/animal hospital that will be taking care of the dog (please include phone number).

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Age Preference _____________________________

Sex Preference _____________________________

Color Preference _____________________________

Please list the name, address and telephone numbers of 3 references:

#1 __________________________________________________________________________________

#2 __________________________________________________________________________________

#3 __________________________________________________________________________________

I/we understand that it is the policy of South Central Bloodhound Club - Rescue to periodically pay follow-up inspection
visits and if, at any time, there seems to be a problem relating to the care, health and well being of the dog, it will be removed.
I/we understand that the dog will be returned to me/us only if and when such problem is corrected to the reasonable satis-
faction of the South Central Bloodhound Club.

Adoptive families are not selected on a first come first served basis.
South Central Bloodhound Club tries to choose the most compatible environment for its bloodhounds.
South Central Bloodhound Club reserved the right to refuse adoptions to any applicants.
The undersigned understands and agrees to be bound by the statements made above.
(In the case of a couple seeking adoptions, both must sign.)

_________________________________________ ________________
Signature Date

_________________________________________ ________________
Signature Date

Please return by mail to:

Walt Partin, 1032 CR 1560, Chico, Texas 76431

OR

by fax to 817-870-2897.

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