First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Cell Phone*

Alt Email

Have you ever owned or lived with a Basset Hound before? IMPORTANT - Please tell us a little about your experience, if any, with this breed in the comments box at the end of the form.*

If you would like to also volunteer in some way, please indicate what you would like to help with. Some options will require the submission of an application (for example, foster), or approval to be added to our relevant list. Your email may be added to a specific email group so that we can reach out to you if the need arises (examples are transport and helping at events). We are interested in:

If you were unable to select all the volunteer options you wanted to... please explain here what skills you have to offer, and/or activities you would like to get involved with.

Any other information that would be relevant to your application? You can tell us here about your experience with other dogs, especially basset hounds, that you have owned in the past, or own now. Also, the human people who share your address. Tell us their personalities, special needs, or other points that would help us match the best dog to your current household.*