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Pacific Rim Bloodhound Rescue

Adoption Application

Date: _________________________________________

Name:_________________________________________

Address:_______________________________________ ______________________________________________

______________________________________________

Day Phone:_____________________________________

Email/Fax:______________________________________

How long have you lived at above address? ____________

 

Pacific Rim Bloodhound Rescue

70460 Nick Thomas Rd.

Rainier, OR 97048

503-556-3810

 

 

 

 

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

How did you hear about us? __________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

What are your reasons for adopting a bloodhound? ________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Who is living in your house? (Please include the relationship, gender and age of each person.)

_________________________________________________________________________________

_________________________________________________________________________________

Who will have the major responsibility for caring for your bloodhound? Is this person home all day?

_________________________________________________________________________________

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

_________________________________________________________________________________

Do you have a fenced area suitable for a bloodhound? Please describe:________________________

_________________________________________________________________________________

Have you previously owned a bloodhound? If so, what happened to your last bloodhound?__

__________________________________________________________________________

____________________________________________________________________________________________________________________________________________________

What pets have you previously owned? _________________________________________________

_________________________________________________________________________________

Did any cats or dogs owned by you produce a litter? _______________________________________

What pets currently reside with you? (Please include type, sex, and age) _______________________

_________________________________________________________________________________

_________________________________________________________________________________

What pets currently reside with you? (Please include type, sex, age, spayed/neutered)____________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

How will you exercise the dog? ________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Would you obedience train the dog? ___________________________________________________

Would you train it for tracking or trailing? ________________________________________________

Please list the name of the veterinarian/animal hospital that will be taking care of the dog. (please

include phone number) ______________________________________________________________

_________________________________________________________________________________

Age Preference: _______________ Sex Preference:______________Color Preference: __________

Please list the name, address and telephone numbers of 3 references not related to you:

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

I/we understand that it is the policy of Pacific Rim Bloodhound Rescue 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. I/we understand that the dog will be returned to me/us only if and when such problem is corrected to the reasonable satisfaction of Pacific Rim Bloodhound Rescue.

Adoptive families are not selected on a first come first serve basis. PRBR tries to choose the most compatible environment for its bloodhounds. PRBR reserves the right to refuse adoptions to any applicants.

The undersigned understands and agrees to be bound by the statements made above. (In case of a couple seeking adoption, both must sign.)

Signature: _____________________________________________ Date: _____________________

Signature: _____________________________________________ Date: _____________________

Mail to: Terri Coffey, 70460 Nick Thomas Rd., Rainier, OR 97048

Please enclose $2.00 processing fee.

For more information about PRBR, email riverbank@ados.com or call 503-556-3810.

 

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