ADOPTION FORM

A successful adoption depends on both the selection of the right Basset for your household and the understanding of the Basset’s care taking needs.  
So that we may assist you with this selection, please answer the following questions as completely as possible.

All information is kept confidential and is used only for the purpose of
GABR operations.

All applicants must be at least 18 years of age.  We’re sorry, but we prefer not to adopt to families with children under the age of 6 years.

If you have any questions regarding the adoption process, please read our Adoption Procedures.

Guardian Angel Basset Rescue does charge an adoption fee to cover the necessary care of the basset prior to its adoption.  This fee is due upon adoption.

Any applications coming in after April 1st, 2015 and resulting in an adoption will be charged the following fee:

Puppies 6 m/o and under:     $350 (plus $100 deposit which is returned after proof of spay/neuter).
Puppies over 6 m/o to 7 y/o: $275
Adults 8 y/o and over:           $175

If you are a BFF member, a $25 discount will apply, but not to seniors 8 y/o and over.

If you have problems with the adoption application or it will not go through, please print out the form and fax it to 815-584-3145.

If you are using a Chrome browser, you may have to click the submit button more than once. If you receive a server error
message, simply click the back arrow and click the submit button again. By using the back arrow, you do not have to fill in
the form again, all the information is retained. You will receive a GABR form received message when successful.
Are you ready to adopt a dog at this point in time? If you are looking to adopt several months from now,
we ask that you DO NOT complete an application until you are ready to welcome a dog into your home.
YES, WE ARE READY TO ADOPT!
Contact Information:
Please provide the following contact information:
First Name  

Last Name   

Street Address  

City  

State/Province  

Zip/Postal Code  

Phone  

Cell Phone  

E-mail  
Best time to reach you:
What other rescues have you applied to, if any? If none, leave blank
Living Conditions
What type of housing do you live in?
Do you own or rent?
If you rent, does your landlord permit dogs?
If you rent, is there a weight/size limit on allowable dogs?
If yes, what is the weight/size limit?
Does anyone who lives in the home or who visits frequently use a walker/cane/wheelchair?
Are you planning to move in the foreseeable future?
If you were to move, what would your plans be for the dog?
If you rent, please provide your landlord's name and contact information for verification of requirements:
Name  

Work Phone  

Home Phone  

E-mail
Do you have stairs in your home?
If yes, how many stairs?
Do you have a completely fenced in yard?
If no, do you agree to keep the basset on a leash when outdoors?
Are you willing to have a volunteer from GABR visit your home prior to adoption?
Dynamics of Household
What is the make-up of your household?
Number of adults
Number of children:
If there are children in the household, what are their ages?
Are there other children who visit frequently (i.e. grandkids, babysitting)?
If yes, what are the visiting children's ages?
Please list the pets you currently own and provide the information requested on each one.
Date of last inoculations for:
Date of last
heart worm
test
Dog (Breed),
cat, bird, other
AGE
(yr/Mos)
Time
owned
Spay/
Neuter
Pet's Name
Sex
Rabies
DHLPP
Bordatella
Describe the temperament of the dog(s) you currently own.
Describe the activity level of the dog(s) you currently own.
Do you give Heartworm preventative to your dog(s) on a monthly basis?
Does anyone in the household have dog allergies?
How close is your nearest neighbor?
Veterinarian Information
Do you have a veterinarian?
We do not adopt dogs to homes whose pets are not current on vaccines. Applications with pets who are not
vaccinated and/or do not receive Heart worm Preventative will not be considered.
If yes, please provide your veterinarian's name and phone number.
Name

Organization  


Work Phone  

FAX

URL
What pet name and last name are your current vet records under?
If no, please list a personal reference, not a relative.
Adoption Questions
Why do you want to adopt a Basset?
Will this be your first dog/basset as an adult?  
Have you ever adopted a dog from a rescue organization or shelter?
Have you ever had to give up a dog?
If yes, please explain:
How do other family members feel about adopting a Basset?
Which family member will be the basset's primary caregiver?
How many hours per day will the basset be left alone?
Where will the basset be kept during the day?
Where will the basset be kept during the night?
Are you willing to provide the required heartworm preventative on a monthly basis?
Are you willing to provide GABR with follow up reports?
Do you agree to return your basset to GABR if you are unable to keep it?
Basset Preferences and Training
Would you prefer a male or female basset?
    What age Basset do you prefer?
    What specific traits are you looking for in a basset that would make
    him/her the right match for your family?
    Have you ever taken a dog to obedience training?
    Are you willing to take your basset to obedience training if necessary?
    Are you willing to house train your basset, if necessary?
    Are you willing to crate train your basset?
Referral and Other Comments
    How were you referred to GABR?
    If you have other comments or have a specific Basset on our website you are interested in, please indicate below.
Thank you for your interest in adopting a Basset Hound from Guardian Angel Basset Rescue!