Registered Charity No 1166291

The Basset Rescue Network of Great Britain

Adoption Application

If you would like to register your interest in one of the Basset Hounds in our care please fill in the form below with as much information as possible.

Name of dog you are interested in*

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Your Information

Your Name*

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Email Address*

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Address*

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County*

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Daytime Telephone Number*

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Evening Telephone Number*

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Town/City*

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Post Code

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Application Information

How many people are in your family? *

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Have you owned a Basset Hound before?*

YesNo

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Do you have resident children under 5?*

YesNo

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Sorry we cannot proceed with your application, as we do not place dogs in homes where there are children under 5

Do you have children under 16 please give their ages.*

YesNo

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Please Give Their Ages

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Do you have young children visiting regularly.*

YesNo

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Please Give Their Ages

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Do You Drive or Have Access to a Vehicle?*

YesNo

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Do you work?*

YesNo

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

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Would you consider a dog with behavioural issues?*

YesNo

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Would you consider a dog that has never lived in a home?*

YesNo

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Would you consider a puppy?*

YesNo

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Would you consider a senior dog?*

YesNo

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Would you be interested in a bonded pair? *

YesNo

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Do you have any upcoming holidays within the next three months?*

YesNo

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Please Leave Details*

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Do You Have Any Other Pets?*

YesNo

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Please list any other pets you have at home.*

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If you have other dogs are they vaccinated?*

YesNo

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If no, please explain why

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If you have other dogs are they neutered?*

YesNo

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Sorry we are unable to process your application any further as we don't home our dogs to families with un neutered dogs.

What type of home do you live in? *

HouseBungalowFlatOther

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'Other' type of home

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Do you have access to a secure garden and how many flights of stairs will the hound need to climb?

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Do you own your own home?*

YesNo

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If you rent do you have your landlords permission to have a dog? *

YesNo

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Have you read the Adoption information and FAQ's on our website?*

YesNo

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Please tell us why you are the perfect home for a rescue basset hound.*

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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.

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Please type your full name here.

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Date

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*

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The Basset Rescue Network of Great Britain is a Non Profit Organisation
Company Registered in England and Wales No 9246346
Registered Charity No 1166291

© 2013 - 2020 The Basset Rescue Network of Great Britain