##onlineform-title | Utah Friends of Basset Hounds

About You

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Home Phone *

Work Phone *

Cell Phone

Driver's License # *

Email *

Emergency Contact (Someone outside your immediate family who does not live with you.) *

Emergency Contact Phone *

Your Dog Experience

Have you owned a dog before?

Have you owned a basset hound before?

If you no longer have the dog(s), what happened to them?

Have you house-trained a dog before?

If necessary, are you willing to house-train one now?

Have you ever attended formal obedience training classes?

If yes, what school did you attend?

What methods have/will you use to correct bad behavior in a dog?

Do you currently have any pets?

Please list all your current pets.

Name of Your Current Veterinarian

Your Physical Home & Basset Accomodations

What type of home do you have?

If you marked 'other', please explain.

Do you own or rent your home?

Own
Rent

If you rent, do you have landlord permission to own a dog?

Please list your landlord's name and phone number.

Do you have a fenced yard?

Do you have a dog door?

Do you have a swimming pool?

If yes, does your pool have a fence?

Where will the basset stay during the day?

Where will the basset sleep at night?

Your Lifestyle

Are there children in your household?

If yes, what are the ages of children?

How many individuals live in your home?

How many hours will the basset be without human companionship at any one time?

If you marked 'more than eight', please explain.

Why do you want a basset hound?

For which of the following reasons would you give up a dog? (Select all that apply.)

What would you do if facing an unexpected vet bill over $1000 for veterinary care required to save your dog's life? (Select all that apply.)

Is there anyone in your family hesitant about adopting a basset hound?

If yes, please explain.

Your Preferences

Which sex would you prefer to adopt?

Male
Female
No preference

Do you have an age preference?

What traits would you like MOST in your basset hound? (Select all that apply.)

What traits would you like LEAST in your basset hound? (Select all that apply.)

Are you interested in a specific basset?

Additional Comment & Information

Additional Comments

How did you hear about UFBH?

May we contact you about events and other gatherings?

Terms for Application Submission

You must read and agree to the following terms before 'signing' and submitting your application.

All of the information provided is true and complete to the best of my/our knowledge. I/we understand that a UFBH representative will contact me/us to schedule an appointment for a home visit. I/we understand that a donation/fee will be required, should I/we adopt a basset hound from Utah Friends of Basset Hounds. In the event that, for any reason, the basset hound shall be incompatible with me/us and/or my/our family, I/we promise to return the basset hound to UFBH without charge.

I have read the legal statement above. I agree to the terms as they are written. *

Agree
Disagree

Please sign your full legal name. *