adoption

Name
Address- street city state and zipcode
Home telephone, work telephone and or cell telephone
Email Address:
Referred by whom or from where?
Preferred type?
Preferred sex?
Color? Red and White, Black and White, Tri, Brindle, any
Vet Reference?
Other animals in home? If so what kind
Married, Single, Other
Ages of family members in the home who will have contact with the dog?
Occupation?
Disposition preferred?
What do you like and dislike about the Basenji breed?
What are you looking for in a pet?
Any information you would like to share including what you know about the breed
Ever given up a pet
If passed on how died?
Do you have the time to devote to the care and love of the dog?	Yes No
Do you own or rent? If rent is Landlord ok with a dog	Own Rent and it is ok for a dog with the Landlord
Fence? Fence is optional	Chain Link-higher than 5 foot or Solid wooden fence 6 foot or None
Walk dog even in bad weather
Understand that you must keep the dog on a lead at all times in a non secure area?
Undestand that an invisible fence is not acceptable for a Basenji that they will not hold them in?
Understand that the use of positive enforcement is acceptable only and that hitting, striking or other abusive methods are not acceptable
Willing to crate the dog if needed and not for long periods of time without a break?
Do you support Spay/Neuter?
Willing to care for the dog for the rest of its life?
Where will dog stay during the day?
Where will the dog sleep at night?
Have you or any member of your family been convicted of animal abuse or cruelty?
Drivers license number and state. To be supplied at time of adoption. do not fill out online
Understand that drivers license information is not shared with anyone except by court order. It is used internally for records and only released by court order or to legally retrieve an abused or neglected dog. records are password protected and encrypted