South Central Bloodhound Club Adoption Application

Yes, I'd like to adopt a bloodhound from SCBC!

Complete this form and return to scbloodhoundrescue@gmail.com

or snail mail to: Jennifer Gragg 10007 Carr Wichita, KS 67209

Name: __________________________________Date: __/__/____

Address: _________________________________________ City: _____________ ST: ___ Zip: _____

Day Phone:  ________________ Evening Phone: _______________________

E-Mail: ____________________________________________________________

How long have you lived at the above address? ___________________

Bloodhounds, like people, are individuals. When a bloodhound is available for relocation, South Central

Bloodhound Club -Adoption Program 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 primary reasons for adopting a bloodhound? _____________________________________________

_____________________________________________________________________________________________Who is living in your house? Please include the age, gender and relationship of each person:

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Name: ________________________ Age: _____ Gender: ______ Relationship: ____________________________

Who will have the major responsibility for caring for your bloodhound? ___________________________________ How much is this person home each day? ___________________________________________________________

Where will your bloodhound spend most of its time? __________________________________________________ Do you have a fenced area suitable for a bloodhound? Y     N   Please describe: _____________________________ 

What are your preferences for adoption? Age: ____ Gender: ___ Color: __________

Please check areas of interest for you and your bloodhound: Obedience Training (highly encouraged)

Agility Training   Trailing Tracking   Family Pet SAR (Search & Rescue)

How will you exercise your bloodhound? ___________________________________________________________

Have you previously owned a bloodhound? YN If yes tell us about your experience and what happened to the bloodhound: _______________________________________________________________________________

___________________________________________________________________________________________

What pets do you currently or have previously owned? Please include the age, gender and type of each pet:

Name: ________________________ Age: ____ Gender: ____ Type: ______________________________

Name: ________________________ Age: ____ Gender: ____ Type: ______________________________

Name: ________________________ Age: ____ Gender: ____ Type: ______________________________

Name: ________________________ Age: ____ Gender: ____ Type: ______________________________

Have any of your pets every produced a litter? Y N

Please list the name and phone number of the veterinarian/animal hospital that will be taking care of the dog:

Name: ___________________________________Phone:_____________

Address: _________________________________City___________ ST ____Zip_______

Please give three (3) personal references:

Name: __________________________ Day Phone: ____________ Evening Phone: ___________

Name: __________________________ Day Phone: ____________ Evening Phone: ___________

Name: __________________________ Day Phone: ____________ Evening Phone: ___________

Additional comments that might help us place the right hound with you: __________________________________

____________________________________________________________________________________________

I/we understand that it is the policy of South Central Bloodhound Club-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 the South Central Bloodhound Club.

Adoptive families are not selected on a first come first served basis. South Central Bloodhound Club tries to choose the most compatible environment for its bloodhounds. South Central Bloodhound Club reserved the right to refuse adoptions to any applicants.

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

 Name: _________________________________________ Date: ___/___/____

Name: _________________________________________ Date: ___/___/____