The Basset Rescue Network of Great Britain

Name of the Hound/Dog you are interested in

Applicant first name

Applicant last name

Email

Phone number

Your home address

Town/City

County

Postcode

What is your age range? 18 - 3030 - 5050+

Have you owned a Basset Hound before? Have you owned a Basset Hound before? Yes No

How many people live in your property?

Do you have children under 16? Do you have children under 16? Yes No Please provide details of your garden size and perimeter security

Do you have resident children under 5? Do you have resident children under 5? Yes No Please provide details of your garden size and perimeter security

Do you have young children visiting regularly? Do you have young children visiting regularly? Yes No

Do you work? Do you work? Yes No

Do you drive or have access to a vehicle? Do you drive or have access to a vehicle? Yes No

What is the maximum time the dog would be left alone?

Do you have any upcoming holidays within the next three months? Do you have any upcoming holidays within the next three months? Yes No

Do you own your own home? Do you own your own home? Yes No

Do you have your landlord's/owner's permission to have a dog? Do you have your landlord's/owner's permission to have a dog? Yes No

What type of home do you live in? What type of home do you live in? House Flat Bungalow Other

Please provide details of all animals in your home, breed, ages etc

If you have other dogs, are they neutered? If you have other dogs, are they neutered? Yes No N/A (I don't have dogs)

If you have other dogs are they vaccinated? If you have other dogs are they vaccinated? Yes No Please indicate how many hours in any one day that the dog will be left alone in the house and if there are any other dogs he/she will be left with

Do you have any other pets? Do you have any other pets? Yes No

Other pets Please detail any other dogs you may have owned in the past

Are you prepared for all resident family members including dogs to travel to the foster home to meet your potential new dog? Are you prepared for all resident family members including dogs to travel to the foster home to meet your potential new dog? Yes No

Please tell us why you are the perfect home for the hound you are applying for

Would you consider a dog with behavioural issues? Would you consider a dog with behavioural issues? Yes No

Would you consider a dog that has never lived in a home? Would you consider a dog that has never lived in a home? Yes No

Would you consider a puppy? Would you consider a puppy? Yes No

Would you consider a senior dog? Would you consider a senior dog? Yes No

Would you be interested in a bonded pair? Would you be interested in a bonded pair? Yes No

Have you read the Adoption information and FAQs on our website? Have you read the Adoption information and FAQs on our website? Yes No

I consent to BRNGB keeping my personal details on their database to allow them to contact me if required. I understand that it is my responsibility to contact BRNGB if I would like to be removed. I consent to BRNGB keeping my personal details on their database to allow them to contact me if required. I understand that it is my responsibility to contact BRNGB if I would like to be removed. I consent to BRNGB keeping my personal details on their database to allow them to contact me if required. I understand that it is my responsibility to contact BRNGB if I would like to be removed. I agree to the terms of service.

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