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***********************
Adoption Application
Incomplete
applications will not be processed !
Please provide the following information
to us in an email to
longears@worland.com .
(If for some reason you provide this application to us in a printed
out copy, that copy must be signed and dated, by all adults party to
this adoption.)
NOTE: The
information requested by us for placement of one of our dogs is NOT to
be used for Public record, it is to aid us ONLY in placing the dogs in
the best possible home we can.
We
reserve the right to deny applications ;
ALL our dogs are INSIDE dogs, we have NO and do NOT place "outside
dogs".
ANY use of this form by anyone without prior consent of the board of
Longears Ranch Rescue is prohibited.
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Date
-
Name(s)
-
Ages of all
occupants of the home
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Complete address
including city, state and zip code
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Home and work
phone numbers and email address
-
Which of our
bassets/other breed are you interested in?
-
Have you had
previous experience with or researched this breed?
-
Is this your
first experience with a companion animal? A basset?
(b) Have you ever applied to another rescue or shelter to adopt an
animal?
Denied? If so state reasons given.
-
Are you familiar with the basics of adopting
a rescue dog?
(please read through the home page of our web site.)
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Do you own other
companion animals at the present time?
-
Are these inside
or outside pets?
Please list your pets (Name, Breed/Species, Age, Spayed or Neutered)
-
Please state the
circumstances of the loss of your 3 most recent household animals.
-
Have you EVER had a dog that you could not keep for
ANY reason. (Please list the reason and what you did with
the dog.)
-
Who is your
veterinarian? Phone Number. Do we have permission to
contact them?
If not please explain.
-
Where do you
currently live? (House, Apartment, Mobile Home, Duplex,
Townhouse/Condo, Ranch or Farm?
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Do you rent or
own?
-
If you rent,
what is your landlord's name and phone number?
-
List the names
and phone numbers of your three closest neighbors. (These names
are used ONLY to request we are notified if the dog is running loose
OR chained.)
-
How long have
you lived at your current address? (Years & months)
-
How many people
live at this address?
(A) How many adults in the household?
(B) How many children and list ages. We carefully process each
application of homes with children, many of our dogs have a history
of prior abuse, we have NO history of the shelter dogs we place and
we will not take the risk of a child being bitten or injured in
anyway.
-
Do all the adult
residents know you are planning to adopt a dog?
Is at least one adult home during the day?
If this person is someone other than you, have they agreed to care
for the animal?
Please provide this person's name and phone number.
-
Do you have a
fenced yard
are you willing to have a home visit together with
fence inspection performed?
Describe size and type of fence:
(chain link, wood, other)
(A) Is it a fenced yard that is attached to the house, with secure
locking gates.
(B) Does the meter reader for gas, electric enter a gate
in your yard to read the meter? ( we had a meter reader hit
one of our rescue dogs and the gash required 8 stitches)
-
Employed
at:
Length of employment: (years & months)
-
How much in
dollar $$, do you consider is too much to spend for your dog be it
medical or injury should it become necessary ?
-
are you
looking and expecting a perfect dog? These are rescue dogs so are
you willing to work with a dog to housetrain, as well as many other
behavior problems that we find in our rescue dogs?
**All
applications will be carefully evaluated, all references will be
checked, and every phone number listed WILL be called.
**Wyoming Longears Basset Hound Rescue reserves the right to refuse an
animal to anyone.
** Should an adoption take place as the result of this application,
and if for any reason this adoption does not work out, the basset
is to be returned to Wyoming Longears Basset Hound Rescue. This
holds true REGARDLESS of the animal’s age or the length of his/her
stay in your home.
**If the dog is found to be neglected in
ANY way, your signature above gives Wyoming Longears Basset Hound
Rescue FULL power to reclaim the animal described in this document.
Instances of neglect include but are not limited to:
·
NOT having ALL pets
spayed or neutered
·
NOT keeping your pets
current on vaccinations
·
NOT keeping your pets
under control
·
NOT maintaining a
fenced yard
***Adoptions
of puppies who are not old enough to be spayed or neutered are rarely
allowed and are decided on a case-by-case basis. Should you be
allowed to adopt a puppy, you hereby agree to have him/her spayed or
neutered by the following date, or to return the animal to us.
***Proof of sterilization, signed by a licensed veterinarian and
including his/her contact numbers, must be presented to Wyoming
Longears Ranch Basset Rescue within 10 days of the surgery.
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