Adoption/Contact Info

ADDRESS________________________________________CITY__________________________________________

STATE___________ ZIP________________ HOME PHONE____________________WORK PHONE_______________

E-MAIL ADDRESS__________________________________OCCUPATION___________________________________

HAVE YOU EVER OWNED A BLOODHOUND BEFORE? YES ________ NO________

DO YOU PREFER A: MALE ?__________FEMALE ?___________UNDECIDED ?___________

WHY HAVE YOU DECIDED TO PURCHASE THIS PARTICULAR BREED?

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WHAT TYPE OF PERSONALITY ARE YOU LOOKING FOR IN YOUR PUPPY?

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DO ALL FAMILY MEMBERS AGREE TO THE PURCHASE OF THIS PUPPY? YES _______ NO _________

DO YOU HAVE YOUNG CHILDREN? YES ________ NO __________

IF SO, WHAT ARE THEIR AGES? ___________________________________________________________________

DO YOU CURRENTLY OWN ANY OTHER DOGS? YES?_________ NO?________

IF YES, PLEASE LIST BREEDS AND AGES________________________________

DO YOU OWN OTHER PETS? YES ________ NO___________

IF YES, WHAT TYPE(S)_________________________________

DO YOU OWN OR RENT YOUR HOME?____________________

DO YOU LIVE IN A HOUSE ?______APARTMENT ?________ OR OTHER ____________

DO YOU HAVE A FENCED YARD? YES______ NO______

DO YOU HAVE A KENNEL? YES _______ NO _______

DO YOU OWN A CRATE? YES ________ NO________

WHERE WILL YOUR BLOODHOUND BE KEPT DURING THE DAY?
HOUSE ?__________ KENNEL RUN W/DOGHOUSE ?_________ YARD W/DOGHOUSE ?_____________ COMBINATION ?___________
OTHER_______________________________________________________

WHERE WILL YOUR BLOODHOUND BE KEPT AT NIGHT?___________________________________________________
HOUSE ?__________ KENNEL RUN W/DOGHOUSE ?__________ YARD W/DOGHOUSE ?________ COMBINATION ?____________
OTHER_______________________________________________________

FOR WHAT PURPOSE(S) DO YOU WANT TO PURCHASE A BLOODHOUND? (Circle all that apply and rank by number in order of importance)

FAMILY PET
SHOW
OBEDIENCE
AGILITY

AKC TRACKING
ABC TRAILING
LAW ENFORCEMENT/SAR WORK
OTHER

ARE YOU WILLING TO SPAY/NEUTER THIS DOG? YES ________ NO________
IF NOT, WHY________________________________________________________

HAVE YOU EVER HAD A DOG EUTHANIZEDYES _________NO______________
IF YES, WHY________________________________________________________

DO YOU HAVE A REGULAR VETERINARIAN? YES________ NO___________
IF SO, LIST NAME, ADDRESS, AND PHONE #

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HOW DID YOU HEAR ABOUT US

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PLEASE LIST TWO PERSONAL REFERENCES (name, address, phone #)

1)________________________________________________________

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2)________________________________________________________

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DO YOU HAVE ANY ADDITIONAL COMMENTS OR CONCERNS THAT WOULD HELP US PLACE THE RIGHT PUPPY IN YOUR HOME.

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SIGNATURE__________________________________________________________ DATE___________________

PLEASE FILL THIS FORM OUT COMPLETELY AND RETURN WITH 100 EURO DEPOSIT TO:

CANISA DE BADEA GHEO
Dr. Georgiana Nicoleta Badea
011162 Al.Deparateanu 26 A
Bucharest, sect.1

ROMANIA- EUROPE
+4 0722786355

bloodhounds.cdbg@yahoo.com