To submit the application, simply fill in the form below and click on the Submit button. Please make sure to fill out the entire application as incomplete applications will not be considered for an adoption. Thank you!!


PLEASE NOTE: Use your mouse or tab key to move from one question to the next. Hitting the 'enter' or 'return' key will result in the application being sent.

If you have ANY questions, PLEASE send an e-mail to jayne23@att.net and we will do what we can to answer them.
THERE IS A $200 ADOPTION FEE.


Date (required): Dog Interested in:



Your Information
Name (required): E-Mail Address (required):
Street Address (required):
Apartment #: City (required): State(required): Zipcode (required):
Home Phone # (required): Cell Phone # : Best time to call (required):

Employer: Employer Phone #:



Spouse's Information
Name: E-Mail Address:
Employer: Employer Phone #:



Personal Reference #1 (Required)
Name (required): E-Mail Address:
Street Address, City, State and Zipcode:

Phone # (required): Best time to call (required):



Personal Reference #2 (Required)
Name (required): E-Mail Address:
Street Address, City, State and Zipcode:

Phone # (required): Best time to call (required):



Your Veterinarian
Name: Phone #:
Street Address, City, State and Zipcode:


Have you ever owned a Coonhound or Bloodhound before?

Why do you want a Coonhound or Bloodhound?




Please list the pets you now own:

Type/BreedSexSpayed/Neuterd
(Yes or No)
AgeOwned Since
(Year)
In House or Outside?



Please list previously owned pets:

Type/BreedSexSpayed/Neuterd
(Yes or No)
Owned For How Long
What Happened
To Him/Her?



Your Housing Situation

Do You


If renting please provide the following information

Name of Landlord: E-Mail Address:
Street Address:
City and State:
Phone #:

Do You Have A Securely Fenced Yard?


If No, Are You Willing to:




People in Household

Number of Adults in Household: Number of Children in Household:
Ages of Children in Household:


Do you have much contact with grandchildren or neighborhood/other children?


Are any members of your household frail?

If yes, please explain:



Do any members of your household have animal related allergies?

If yes, please explain:




Dog Fitting in to the Household

Who will be primarily responsible for the care of the dog?

What are the working hours of the adults in the household?

Where will the dog be kept during the day?

Where will the dog sleep at night?

Where will the dog be kept when left alone?

The dog will be left alone
without human companionship
for approximately how many hours a day?

Please tell us how you plan to exercise the dog.


Please describe your lifestyle.
Is it active (e.g., hiking, camping, community work, in or out a lot)?
Or is it more relaxed and structured?


Please describe the perfect dog for your home.
Taking into consideration that hounds
vary greatly in temperament, personality,
and activity level, what characteristics
do you want in your dog?
Please answer with as much detail as possible.


Please tell us what characteristics are undesirable?


Would you accept an older dog?

Would you accept a dog that has been abused?

Would you accept a dog that is not reliable with children?

Would you accept a dog that has a physical handicap?

Would you accept a dog that requires regular
medical treatment for a disorder or disease?

Knowing some of the rescue dogs have had little or no training, are you willing to take the dog to a trainer or to obedience classes?

How would you handle adjustment/training problems such as:

Jumping on furniture

Jumping on People

Barking

Chewing

House Soiling


For what reason(s) would you give up your dog? (please describe all that apply, such as allergies, not getting along with other pets, divorce, not housebroken, moving, aggression, new baby, increased work hours, etc. )


What would you do if you were faced with an unexpected vet bill of $1,000 for treatment required to save your dog's life?


Have you ever given a pet up?
If so, please explain the circumstance:

What do you consider a reasonable time period to give the dog to adjust to your family and environment?

Are you willing to let a member or someone appointed by
American Black and Tan Coonhound Rescue visit your home before adoption?

What age and sex of dog do you prefer?

Please include any additional comments, information, etc. below that would help us help you find that perfect member for your home and environment. Our goal is to place our wonderful hounds in "forever" homes where everyone is happy--hounds and humans.


By submitting this Adoption Application to American Black & Tan Coonhound Rescue I certify that I am at least 21 years of age and that I will be the legal owner of and ultimately, soley responsible for the care and well-being of any dog that I adopt from American Black & Tan Coonhound Rescue. Any misrepresentation of the true facts in this adoption application or in the adoption agreement will invalidate the adoption agrement and will give American Black & Tan Coonhound Rescue the right to reclaim the adopted dog without refund of the adoption fee.