Pre-Adoption Home Inspection Form Page 3
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3SECTION D – Plans for Adopted Dog
1. Where will the adopted dog be kept during the day? (Check one)
___ Outside, in fence. Is there adequate shelter and water available at all times?
YES
NO
___ Outside Is there adequate shelter and water available at all times?
YES
NO
___ Inside, free roam of house
___ Inside, crated
___ Inside, confined to certain room(s)
___ Garage/ Basement
2. Where will the adopted dog sleep? (Check one)
___ Outside, in fence. Is there adequate shelter and water available at all times?
YES
NO
___ Outside, in pen. Is there adequate shelter and water available at all times?
YES
NO
___ Inside, free roam of house
___ Inside, crated
___ Inside, confined to certain room(s)
___ Garage/Basement
3. If crate is to be used, is it adequately sized and in good condition?
YES
NO
Size: ___________________
4. Are there any questions regarding housetraining, barking, or chewing?
YES
NO
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
5. Explain each of the following:
a. ___ Inform family that adoption applications and pre-adoption home inspections are approved by Suncoast
Basset Rescue. SBR will contact the family regarding this inspection and the pending adoption.
b. ___ Recommend twice daily feedings. Remind the family that some rescue dogs may be a bit malnourished
and will need to be fed more food, more often, and in some cases, higher calorie food such as puppy
formula until sufficient weight is gained.
c. ___ Importance of bathing, nail trimming, ear cleaning.
d. ___ Importance of scheduling a vet visit within 30 days of the adoption. Suncoast Basset Rescue will follow-up
with the vet to be sure heart worm prevention has been purchased.
e. ___Telephone Suncoast Basset Rescue immediately if the adopted dog becomes lost or is stolen.
f. ___ Notify Suncoast Basset Rescue at least one week prior to a change of address.
g. ___ Do not transfer the ownership of the adopted dog to any other person without first obtaining the adoption
approval of Suncoast Basset Rescue. The adopted basset may not be transferred to any other person,
firm, corporation, or organization for any reason.
h. ___ If custody of the adopted dog must be relinquished, notify Suncoast Basset Rescue immediately to
arrange for its re-adoption.
General Comments:
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
Signature of Volunteer:
Print Name_________________________________________________ Signature ______________________________________________
Print Name_________________________________________________ Signature ______________________________________________
Suncoast Basset Rescue
5200 NW 43rd Street #102318
Gainesville, FL 32606
Or
Scan and e-mail to: info@suncoastbassetrescue.or
NOTE:
A copy of the signed form will be mailed to you for your records.
Thank you for finding forever homes for our hounds!
Updated 10/31/2011
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