Application to adopt with Basset Hound Rescue of Michigan

Thank you for your interest in adopting a basset from Basset Hound Rescue of Michigan (BHROM).  Please fill out the application completely as partially filled out applications will not be processed.  If you do not know an answer to a question, please put in do not know or N/A if the question is not applicable to you.

Our dogs are rescued and we often don't know the full background on them.  All dogs are fully vetted and tested and on heartworm medication.  They are placed in foster homes and then adopted out "as is".  Many are stressed with the change of their lives.  Please remember an adjustment period will occur in your home with the dog and there may be some accidents or behavioral issues.  BHROM is there to help if you have any questions with the application or with the dog.  

BHROM charges the following fees for adoption.  These fees help cover some of the costs for vetting the dog.

Puppies - 2 year = 350.00

2 year - 8 years = 250.00

8 years and up = 150.00


All fields are required:


Name
Name
Address
Address
Phone
Phone
Phone - Cell
Phone - Cell
If you rent, please provide your landlord's name and contact information for verification of requirements:
If you rent, please provide your landlord's name and contact information for verification of requirements:
Dynamics of Household - At the end of the application is a place to list your dogs
Veterinarian Information
Vet's Address
Vet's Address
Vet's Phone
Vet's Phone
http://
Adoption Questions
Basset Preferences and Training
Referral and Other Comments
Please list the pets you currently own and provide the information requested on each one
1st Pet
First Pet - Date of last inoculations for Rabies
First Pet - Date of last inoculations for Rabies
First Pet - Date of last inoculations for DHLPP
First Pet - Date of last inoculations for DHLPP
First Pet - Date of last inoculations for Bordatella
First Pet - Date of last inoculations for Bordatella
First Pet - Date of last heartworm test
First Pet - Date of last heartworm test
2nd Pet
Second Pet - Date of last inoculations for Rabies
Second Pet - Date of last inoculations for Rabies
Second Pet - Date of last inoculations for DHLPP
Second Pet - Date of last inoculations for DHLPP
Second Pet - Date of last inoculations for Bordatella
Second Pet - Date of last inoculations for Bordatella
Second Pet - Date of last heartworm test
Second Pet - Date of last heartworm test
3rd Pet
Third Pet - Date of last inoculations for Rabies
Third Pet - Date of last inoculations for Rabies
Third Pet - Date of last inoculations for DHLPP
Third Pet - Date of last inoculations for DHLPP
Third Pet - Date of last inoculations for Bordatella
Third Pet - Date of last inoculations for Bordatella
Third Pet - Date of last heartworm test
Third Pet - Date of last heartworm test
4th Pet
Fourth Pet - Date of last inoculations for Rabies
Fourth Pet - Date of last inoculations for Rabies
Fourth Pet - Date of last inoculations for DHLPP
Fourth Pet - Date of last inoculations for DHLPP
Fourth Pet - Date of last inoculations for Bordatella
Fourth Pet - Date of last inoculations for Bordatella
Fourth Pet - Date of last heartworm test
Fourth Pet - Date of last heartworm test
5th Pet
Fifth Pet - Date of last inoculations for Rabies
Fifth Pet - Date of last inoculations for Rabies
Fifth Pet - Date of last inoculations for DHLPP
Fifth Pet - Date of last inoculations for DHLPP
Fifth Pet - Date of last inoculations for Bordatella
Fifth Pet - Date of last inoculations for Bordatella
Fifth Pet - Date of last heartworm test
Fifth Pet - Date of last heartworm test