Adoption Application


A successful adoption depends on matching the most suitable basset to your household. So that we may assist with this selection, please answer the following questions as completely as possible.

****WARNING!! DO NOT HIT YOUR 'ENTER' KEY WHILE FILLING OUT THIS APPLICATION! PLEASE JUST TAB BETWEEN FIELDS, OR USE YOUR MOUSE TO PROCEED TO THE NEXT BOX. ONCE THE ENTER KEY HAS BEEN PRESSED, THE APPLICATION WILL SUBMIT AND YOU WILL HAVE TO START ALL OVER AGAIN!**** thanks!

Date


Please provide the following contact information:

Name
Address 
City
State
Zip Code
Home Phone
Cell Phone
E-mail

Number of Adults in household.


Number of children in household.


Ages of children in household. *Please Note: Because many of our Rescue Bassets come from unknown backgrounds, we do not to adopt to families with children under 5. Please understand we are only trying to protect the little ones (bassets and children) from harm.*


Let us know what your work schedules are like. How many hours a day are you away from home for work/school etc?


How long have you lived in Nevada? We do not adopt outside of the Las Vegas, Nevada area. If you are not in Las Vegas, please see our Basset Rescue Links page for a Rescue in your area.


Type of dwelling.


Do you Own or Rent?


If renting: Do you have landlord approval to have a pet?


If renting: Name and phone number of landlord/rental agency.


Do you have a fenced yard?


Do you have a swimming pool?


Does the swimming pool have a safety fence?


Do you have a doggie door?


Number of dogs in household


Number of cats in household.


How would you classify your home?

calm, fairly quiet
moderately active
very active and/or frequent visitors

Does anyone in the adopting family have pet-related allergies? If so, how will they adjust to living with a dog?


List ages and breeds of pets in household. Please tell us a bit about their personalities. This will help us make a match when considering your application.


Are all of your pets spayed or neutered?


Where do your dogs stay while you are away from home?

In the yard
In a crate
In the garage
In the house confined to an area
In an outdoor run/pen
In the house not confined to an area

Where will the dog sleep?


Name and Phone number of Vet. Please include last name on your account at the Vet clinic. We will check with your Vet for Veterinary history. If you are new to the area, and do not have a Vet in Las Vegas, please include a Vet reference from your former city.


List any pets you have previously owned: (If deceased, cause of death)


If you are applying to adopt a specific Basset from our "Adopt Me" page, please name here.


Do you have a Basset age preference? Please note: we seldom see puppies in rescue and cannot maintain a waiting list for them.

puppy to 24 months
2 - 6 years
7 years to Senior
age does not matter

Do you have a Basset gender preference?

male
female
No preference

Do you have a Basset color preference?

Tri-Color
Red & White
Color does not matter

Would you consider a Basset Mix?


Would you consider a Special Needs Basset?


If yes, what type of Special Needs would you consider?

Vision problems
Hearing problems
Medical needs

What type of Basset Personality would best fit your household?

playful
quiet
outgoing
sedate

Have you ever had a Basset?

Yes, I have a Basset now
Yes, in the past
No

Have you researched the breed?


What are your expectations from a Rescue Basset?


Why do you want to adopt a Rescue Basset?


Have you ever had to give a dog up? If yes, please explain the circumstances.


Rescue Bassets often have housetraining problems when adjusting to their new home. How would you deal with this?


Please provide any additional information that would be helpful in considering your application for adoption. We will keep your application on file for six months. If several months have passed and you have not heard from us, please e-mail and let us know you are still interested!


Adoption fees are as follows: Dogs 2 years old and up are $150. Under 2 years old are $250. Seniors, Special Needs dogs, and mixes may have a lower fee. All dogs are vet checked, spayed/neutered, and current on vaccines.

***By submitting this application for adoption, the applicant agrees to a home visit prior to adoption and a Vet records inquiry.***


Copyright © 2002 [Las Vegas Basset Rescue]. All rights reserved.
Revised: January 23, 2007