BROOD Adoption Application

Please complete this form and submit it ONLINE regardless of how you intend to pay the application fee. You must be 21 years old or older to apply. After you complete and submit this form you will see information about submitting your non-refundable application fee for $10 (Check or Money Order). No adoption fees will be refunded after seven calendar days.

BROOD adopts dogs to residents of Maryland, West Virginia, DC, Delaware, Virginia and parts of Pennsylvania ONLY. Do not apply to adopt from BROOD if you live outside this area.

If you have any questions, please contact our Adoption Coordinators BEFORE you submit your application.

Applicant First Name *

Applicant Last Name *

Co-Applicant First Name

Co-Applicant Last Name

Who will be primarily responsible for the care of the dog? *

Street Address *

City *

County *

State *

Zip *

Home Phone *

Work Phone

Cell Phone

E-mail Address: *

Preferred means of contact *

Home Phone
Work Phone
Cell Phone
Email

Are you a previously approved BROOD foster or adopter? *

Yes
No

How many people are there in your household? *

Are all the members of your household in agreement about adopting a dog? *

Yes
No
I haven’t discussed it with them yet

Ages of minor children?

Are there other children who visit frequently? (grandkids, babysitting, etc.) *

Yes
No

If yes, what are the visiting children’s ages and how often will they visit?

Which most closely describes your household’s activity level? *

Very quiet: only a few residents and not too many guests
Average: not too quiet, but not party animals either
Very busy: lots of people coming and going

Approximately how long would the dog be left alone within a 24-hr period? *

If the dog will be left alone for longer than 5 hours, please describe in detail how your dog will be cared for (dog walker, dog door, etc.)

Do you plan to crate your dog? *

Yes
No

If yes, how long will the dog be crated each day?

Your home is currently *

Owned
Rented

Which most closely describes your type of home? *

Do you have a dog door? *

Yes
No

Do you have a fenced in yard? *

Yes
No

If yes, what kind of fence?

If you do not have a fence, where and how will the dog be exercised and allowed to use the bathroom?

Do you agree to keep the basset on a leash if outdoors and not in a fenced-in area? *

Yes
No

Do you have a close friend or family member who would be willing to provide long-term care for your dog if an emergency arose? *

Yes
No

Are you established with a veterinarian? *

Yes
No

Name of Vet or Vet Clinic/Hospital

Vet Street Address

Vet City

Vet State

Vet Zip

Vet Phone

Vet Fax (A fax number OR email is REQUIRED to process your application.)

Vet Email: (A fax number OR email is REQUIRED to process your application.)

Under what name is your vet account listed?

How often does your pet(s) see the vet? *

Never
Once a year for an annual exam
Only for emergencies
A few times a year for exams, dentals and other necessary health care
I have never owned a pet

If you currently own a dog, is it on heartworm preventative and/or are you following your vet’s recommendations for administering heartworm testing and preventative? *

Yes
No
N/A (don’t have a dog)

Do you currently own a dog(s)? *

Yes
No

If yes list names, breeds, ages of all dogs.

If yes, what happened to the dog, or any other dogs you have owned?

Have you ever owned a basset hound? *

Yes I do now
I have owned a basset hound in the past
No

Describe the temperament of dog(s) you currently own. (check all that apply) *

Dominant
Submissive
Possessive
Friendly
N/A (don’t own a dog)

Describe the activity level of dog(s) you currently own. (check all that apply) *

Active
High Energy
Laid Back
N/A (don’t own a dog)

Why do you want to adopt a basset? *

Do you have any other pets (birds, rabbits, etc) in the household? (Do not include dogs and cats.) *

Yes, I have pets now
No, but I owned pets in the past 12 months
No, but I have owned pets in the past (more than a year ago)
No, I have never had pets

If yes, please list names, types and ages of other pets.

Do you currently have a cat or cats? *

Yes
No

If yes, have your cat(s) ever been around a dog? *

Yes
No
N/A (don’t own a cat)

What is your cat’s attitude toward dogs? (check all that apply)

Aloof, ignores dogs
Does not get along with dogs
Playful with dogs
Aggressive toward dogs
Unknown, my cat has not been around a dog

What would you do if your cat did not get along with a new dog?

Have you ever adopted a dog? *

Yes
No

If yes, from where? Please provide name, address, phone and contact name (if known).

If you have previously adopted from BROOD, when? (approximate date is ok)

What was the dog’s name when with BROOD?

Have you moved since you last adopted from BROOD?

Yes
No

If yes, explain.

Have you ever returned a dog that you adopted or relinquished a dog you owned?

Yes
No

If yes, what were the circumstances? Please provide name, address, phone and contact person’s name (if known) of the agency to which the dog was returned.

How much active exercise will your dog get every day? *

What will be your primary level of exercise with the dog? (check all that apply) *

Yard (fenced) exercise
Short walks
Vigorous walks
Hiking/Jogging
Dog park

Where will your dog sleep? *

Do you have neighbors who would be bothered by a barking or howling dog or one experiencing separation anxiety? *

Yes
No

Do you agree to take your new basset to the vet for a physical within 21 days of adoption? *

Yes
No

Are you willing to house train your new basset? *

Yes
No

Would you be able to tolerate accidents in the house while your adopted basset adjusts? (This is common even with housetrained dogs.) *

Yes
No

Please rate your ability/experience training dogs, including housetraining, basic manners like sit and come when called, and on retraining for dogs with problem behaviors such as chronic barking or chewing. (Pick the choice below that most closely matches your experience level.) *

No experience. I do not have a lot of experience, but am willing to attend training classes to learn more.
Limited experience. I have experience training my own dog(s) to be housebroken and with basic commands, but have not attended obedience classes OR I have attended only a puppy socialization class.
Experienced. I have housetrained multiple dogs and attended obedience classes, and feel comfortable with housetraining and providing basic manners training for a new dog.
Advanced experience. In addition to the above, I have successfully worked with a dog with a serious or chronic behavior problem such as separation anxiety, chronic barking, fearfulness or aggression.

What traits or behaviors would you be UNWILLING to handle or work through training with your new dog? (check all that apply) *

Dominance
Stubbornness
Destructive chewing
Escape attempts
Jumping on people
Digging
Playing too rough
Leash pulling
Taking food from table or children
Aggression
Nervousness or shyness
Aloofness
Too energetic
Not good with other pets
Noisy
Overly Protective
Shedding
Drooling
Other (explain below)
None

For any traits selected above, please describe what potential actions you would take to resolve the situation and under what circumstances you would consider returning the dog. If you selected *

Are you willing to take your basset to a trainer or obedience school, if needed? *

Yes
No

Do you understand the following about your rescue basset? *

Yes
No

Need to be checked annually for heartworm and put on heartworm preventive?

Require routine and emergency veterinary care, including dental work?

Need periodic grooming, to include brushing coat, trimming nails, and ear cleaning?

Need plenty of exercise?

Younger dogs require a higher amount of exercise and can be destructive?

Rescue bassets are companion dogs and are to live inside your home and be an active part of the family?

The basset hound is a scent hound and therefore must never be off leash in an unsecured area?

The average cost in the first year to outfit your dog (leash, collar, dog bed, bowls, food and vet care) could exceed $1000?

A volunteer will contact you to conduct an online or in-person house visit? *

Yes
No

You will pay an adoption fee and be required to sign an Adoption Contract? *

Yes
No

You may need to travel to the dog’s location (MD, DE, VA, WV, PA) for adoption? *

Yes
No

Would you consider adopting: (check all that apply)

Basset mix
Senior dog
Dog with special needs
Bonded pair

What are your specific preferences for a dog? (age, gender, personality, energy level, etc.) *

Name(s) of BROOD hound(s) you are interested in:

Please use this space to provide any additional information you feel is pertinent.

How do you plan to pay the $10 application fee? *

Check
Credit Card
PayPal

Do you consent to receive notices from Pethealth Services? *

Yes
No

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Basset Rescue of
Old Dominion

Basset Rescue

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Basset Rescue of Old Dominion

Basset Rescue

Get In Touch

Learn More

Stay Connected

Basset Rescue of
Old Dominion