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Mid-Atlantic Bloodhound Rescue Adoption Application

Name_____________________________________________________________________________

Address___________________________________________________________________________

City___________________________State______________________Zip______________________

Home Phone)________________________Work Phone)___________________________________

How long have you lived at the above address?__________________________________________

Bloodhounds, like people are individuals. When a bloodhound is available for relocation, this
organization has tried to observe and/or evaluate the dog so that we can give you as much information
as possible. Please assist us by answering the following questions about yourself and what you expect
from a bloodhound.

What are your reasons for adopting a bloodhound?______________________________________

__________________________________________________________________________________

Who is living in the house (if there are children, please include ages)________________________

___________________________________________________________________________________

If you rent, has your landlord given permission for a dog this size?__________________________

Landlords Phone)___________________________

Where will your bloodhound spend most of it’s time?______________________________________

Who will have the major responsibility of caring for the dog?_______________________________

Will this person be home most of the time?__________________________

Will this be your first bloodhound?________________________________

What pets do you currently own? (type, sex, age)__________________________________________

___________________________________________________________________________________

What pets have you previously owned, and what became of them?___________________________

___________________________________________________________________________________

How will you exercise your dog?________________________________________________________

Size of yard?______________________________________ Is it fenced?__________________________

Type & Size of Fence______________________________________________________

Would you obedience train the dog?_____________

Would you train for trailing/tracking?__________

Veterinarian/Animal Hospital who will be taking care of the dog?____________________________

____________________________________________________________________________________

Vets Full Name and Address____________________________________________________________

_______________________________________________Vets Phone #___________________________

Age preference______________________Male or Female________________________

Please list the names, address & phone number of 3 references

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

If an unaltered bloodhound is available through this relocation program, I will have it altered within 30
days after receiving the dog. I also understand that the AKC registration papers will be held by MABR
until the surgical procedure is done and certification of same is received from a vet.

It is the policy of this committee to periodically pay follow up inspection visits and if at any time, there
seems to be a problem relating to the care, health and well being of the dog, it will be removed and
returned only if and when such problems are corrected.

__________________________________________________________________________________
Signature Date

Adoptions are NOT selected on a first come basis. We try to choose the most compatible environment for
our bloodhounds. We reserve the right to refuse adoptions to any potential applications.

Please mail completed form to:
Mrs. Cheryl M. Slavnik
1963 Hayes Rd.
Gloucester Point, Va. 23062

OR PRINT & FAX TO:
(804) 642-1857

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