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Adoption Form Page

Basset Hound Rescue League Adoption Application

Name of Dog I'm inquiring about:

Name:

Email:

Phone:

Street Address:

City/State/Zip:

Rent or Own?:

Rent

Own

Type of Home:

Single family home

Apartment

Condo

Other

How many adults?

How many children?

Ages of Children?

Have you ever had a Dog before?

Yes

No

Please describe what happened to it?

Will anyone be home during the day?

Yes

No

How about at night?

Yes

No

Current pets breed and age:

May we contact your vet for reference?

Yes

No

Name of Vet:

Phone:

May we contact a reference (dog owner)?

Yes

No

Name of reference (dog owner):

Phone:

Do you have a fence?

Dimensions of the fence:

Other comments:

Thank you for contacting us.
We will get back to you as soon as possible

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Find Us

Basset Hound Rescue League Service Area Map

Contact Us

Address

Basset Hound Rescue League

P.O. Box 44201

Fort Washington, MD 20749

Email

Info@bassethoundrescuemd.org

FAX - 866-625-4630

Donate by check or by logging into your PayPal account:

Method of payments

Pay Pal

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