Adoption Form

Houston/Harris County Basset Rescue
On-Line Adoption/Foster Parent Application Form

If you would like to become a Foster Parent or Adoptive Parent to any of our Bassets please submit the following form. We will call you as soon as possible to arrange Adoption/Fostering or to put your name on our adoption waiting list.

If your browser does not support forms [ You see nothing below ] or you would prefer not to send your information via the on-line form, please e-mail us and we will get a form off to you.

Thank You !

Name:
Street Address:
City:
State:
Country:
Zip:
Home Phone Number:
Work Phone Number:
E-Mail Address:
I prefer to be contacted:
At Home.
At Work.
By E-Mail.
I am interested in
Adopting a Basset.
Fostering a Basset.
Volunteering my help.
Do you have special preferences?
Male.
Female.
No preference.
I can take care of a dog with special needs. [older dog, special diet, etc.]
I am Specifically Interested in: Dogs Name.
How did you hear about us
Word of mouth.
Web search.
News media.
Other.
The Adoption Requirements From The Adoption Contract
1. Adopting person (s) agrees the dog will be a house pet, and will receive all care and attention necessary to ensure it's health and well being. Adopting person(s) will provide adequate food, fresh water, shelter, exercise, heartworm preventive, veterinary care and yearly inoculations as recommended by attending veterinarian, and license said dog according to state and local laws. 2. Adopting person(s) WILL NOT PERMIT THE DOG TO RUN FREE OR OFF A LEASH OR OUT OF IMMEDIATE CONTROL. When outside, the dog will never be staked or chained. 3. PRIOR TO THIS ADOPTION the adopting person(s) will provide fencing around any swimming pools, ponds or other water ways to prevent the dogs entry into the water. 4. The adopting person(s) will provide inside sleeping quarters. 5. Adopting person(s) will not transport the dog in an open pick up truck bed or boat. 6. Adopting person(s) agrees that the dog will at all times wear a non-metal buckle collar with current rabies tag and any licensing tag. 'Training' and 'choaker' collars are strictly forbidden. 7. Adopting person(s) agree to telephone Houston/Harris County Basset Rescue immediately if the dog becomes lost or stolen. 8. Adopting persons will notify Houston/Harris County Basset Rescue at least ONE WEEK prior to any change of address . 9. Adopting person(s) WILL KEEP THE BASSET DOG FOR SO LONG AS IT SHALL LIVE, AND WILL NOT TRANSFER THE OWNERSHIP TO ANY OTHER PERSON WITHOUT FIRST OBTAINING THE WRITTEN CONSENT OF Houston/Harris County Basset Rescue. The dog cannot be transferred to any other person, firm, or organization for any reason including death of adopting person(s) 10. If custody of the dog must be relinquished, Adopting Person (S) agrees to notify Houston/Harris County Basset Rescue IMMEDIATELY to arrange for re-adoption. 11. The adopting person(s) take the dog as is, with all defects, either observable or unobservable, and assumes full risk for the dog from the date of signing this agreement. NO WARRANTY is made or implied regarding the dog's temperament or physical condition. 12. Adopting person(s) agree to relinquish custody to Houston/Harris County Basset Rescue at any time these stipulations have been violated, and agree to allow Houston/Harris County Basset Rescue to inspect the premises where the dog will reside, if so requested.
By submitting the above application, the applicant agrees in full to the terms of adoption listed herein. The applicant also guarantees that the information provided is correct and true. Submitting the above application in no way guarantees approval.
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Who We Are \| About Becoming a Foster Home \| How to Adopt a Basset \| On-Line Application Form \| Frequently Asked Questions \| What Happens to a Dog when it is Rescued \| Information about Bassets \| I Have a Basset I Can't Keep \| View the Adoption Contract \| Help Spread the Word \| Dogs Available for Adoption \| Dogs We have Helped \| Our Personal Bassets \| Pet Health Care Information \| News Letter \| Friends and Supporters
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