Online Adoption Form



So that we may assist you with the selection of your new friend, please answer the following questions as completely as possible. All information provided is kept confidential and is used only for the purpose of All Ears operations. All applicants must be at least 18 years of age.

PLEASE READ CAREFULLY our Adoption Procedures prior to filling out the application. All information is kept confidential and is used only for the purpose of our 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.

We do charge an adoption fee to cover the necessary care of the basset prior to its adoption. This fee is due upon adoption.

  • Adoption fee for puppies and adults: $150.00
  • Adoption fee for senior dogs over age eight: $100.00

If you have problems with the adoption application or it will not go through, please print out the form and fax it to 505-341-0519 or mail it to:

All Ears Basset Sanctuary
4100 Hawkins St., NE Ste. B
Albuquerque, NM 87109

Please scroll down for form. Thank you.



All fields are required.

 

Contact Information

        1.  Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Day Phone
Night Phone
Cell Phone
E-mail

        2.  Best time to reach you:

 

        3.  Are you an All Ears Basset Sanctuary Member? 

Yes
No

 

Living Conditions

   4.  What type of housing do you live in?

Apt/Condo
Townhouse
Single Family Home

    5.  Do you own or rent?

Own
Rent

    5a.  If you rent, does your landlord permit dogs?

Yes
No
Not Sure

    5b.  If you rent, is there a weight/size limit on allowable dogs?

Yes
No
Not Sure

    5c.  If yes, what is the weight/size limit?


    5d.  If you rent, please provide your landlord's name and contact information for verification of requirements:

Name
Work Phone
Home Phone
E-mail

    6.  Do you have stairs in your home?

Yes    No

    6a.  If yes, how many stairs?


    7.  Do you have a fenced in yard?

Yes    No

    7a.  If yes, please describe your fence:


    7b.  If no, do you agree to keep the basset on a leash when outdoors?

Yes    No

    8.  Are you willing to have a volunteer from All Ears Basset Sanctuary visit your home prior to adoption?

Yes    No

Dynamics of Household

    9.  What is the make-up of your household?

        Number of adults


        Number of children:


    9a.  If there are children in the household, what are their ages?


    10.  Are there other children who visit frequently (i.e. grandkids, babysitting)?

Yes    No

    10a.  If yes, what are the visiting children's ages?


    12.  Describe the temperament of the dog(s) you currently own.

Dominant
Submissive

    13.  Describe the activity level of the dog(s) you currently own.

Docile
Active

    14.  Do you give Heartworm preventative to your dog(s) on a monthly basis?

Yes No

    15.  Does anyone in the household have dog allergies?

            Yes No

    16.  How close is your nearest neighbor? 

           

Veterinarian Information

    17.  Do you have a veterinarian?

Yes No

    17a.  If yes, please provide your veterinarian's name and phone number.

Name
Organization
Work Phone
FAX
URL

    18.  What pet name and last name are your current vet records under?


 

Adoption Questions

    19.  Why do you want to adopt a Basset?


    20.  Will this be your first dog/basset as an adult? 

          Yes No

    21.  Have you ever adopted a dog from a rescue organization or shelter?

Yes No

    22.  Have you ever had to give up a dog?

Yes No

    22a.  If yes, please explain:


    23.  How do other family members feel about adopting a Basset?


    24.  Which family member will be the basset's primary caregiver?


    25.  How many hours per day will the basset be left alone?


    26.  Where will the basset be kept during the day?


    27.  Where will the basset be kept during the night?


    28.  Are you willing to provide the required heartworm preventative on a monthly basis?

Yes No

    29.  Are you willing to provide us with follow up reports?

Yes No

 

    30.  Do you agree to return your basset to All Ears Basset Sanctuary if you are unable to keep it? 

            Yes No


Basset Preferences and Training

    31.  Would you prefer a male or female basset? 
           

    32.  What age Basset do you prefer? (Select all the age(s) that apply.)

No Preference
Puppy to 24 Months
2 - 5 Years Old
5 - 8 Years Old
8 - 10 Years Old
Senior

    33.  What specific traits are you looking for in a basset that would make him/her the right match for your family?


    34.  Have you ever taken a dog to obedience training?

Yes No

    35.  Are you willing to take your basset to obedience training if necessary?

          Yes No

    36.  Are you willing to house train your basset, if necessary?

Yes No

    37.  Are you willing to crate train your basset?

Yes No

 

Referral and Other Comments

    38.  How were you referred to us?


    39.  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 All Ears Basset Sanctuary!!!






All Ears Basset Sanctuary, a 501(c) 3 nonprofit organization, all rights reserved, copyright 2010