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Bassets and Buddies RESCUE

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bassetsandbuddies@live.com
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______________________________________________________________________________________
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Date: October 2, 2010
Name: (Include names of all adults in
family who will be adopting; i.e. spouse
or significant other, if applicable):
LeAnne Hosea and Joshua Hosea

Address: 14 Treat Point Road City: State: Maine Zip: 04438

Frankfort
Home Phone: n/a Work Cell (207)322-8117
Phone: (207)338- Pho
3360 ne:
Age of Applicant: 28 Age of Applicant’s
Spouse (if
applicable): 27
Occupation of Applicant: stay at home Place of
mother Employment Of
Applicant:

Occupation of Spouse: laborer Place of

Employment Of
Spouse: Matthews
Brothers Window
Manufacturer

How did you hear about Bassets and Buddies? A friend on facebook told me about Save a Dog
Which pet are you interested in adopting (sex/breed mix/age/name): male, boxer mix, one and a half, Petie

How many other pets do 1. S

you currently own or have /
living in your home? 2 N
cats
=

S
p
a
y
/
 N
e
u
t
e
r

Name of Pet Asherah Type/Breed domestic cat Age: 1 Female Yes

Name of Pet Cain Type/Breed domestic cat Age: 1 Male Yes
Name of Pet Type/Breed Age: Male Female S/N Yes No
Are your dogs n/a If
on heartworm s
preventative? Yes No o,
w
h
at
ty
p
e?
What other pets have A male puggle (pug/beagle)
you had in the last five dog. We moved to Maine from
years (not listed above) Arizona and could not find a
and where are they now? place cheap enough that rented
to pet owners. We gave him to
a friend 3 years ago. Now we
own a house, but it would be
unfair to ask for Cooper back
now.
Have you adopted a pet no
from a rescue/shelter
before? No If yes,
what type of pet was
adopted? Which agency
did you adopt from
(please include name,
address, phone number)?

How many children 1 boy, 2 1/2 years old

are in your household?
What are their ages?
Do you have children/ n/a
grandchildren that will
be visiting the dog on a
regular basis? Yes No
If so, what are their ages?
How many adults live 2 , I am a stay at home mother
in your household? so I will be here all the time.
What hours are My husband works from 6am
they at home? to 2:30pm usually. Sometimes
until 4:30pm.
What hours will Just when we go shopping.
the dog stay alone?
Where will the dog stay In the house AT ALL TIMES.
when no one is home? I will NEVER keep a dog tied
up outside.
Where will the dog In the house with me and my
stay during the day? son. Unless we are all taking a
During the night? walk.
Where will the dog I have a friend who I trust
stay when the family to keep a dog with, or I will
is out of town? leave him at the vets. Mariza
Taylor. Or a boarding kennel
if the vet doesn’t board
animals, but I think they do.
Will the dog be left outside NEVER.
unattended at any time? If
yes, explain.
Describe the area where Rural, or suburban. Our
you live (city, suburban, neighbors are a good distance
rural) away.
Do you own your own Own.
home or rent? Own
Note: Your name must be
on the mortgage/lease in
order to adopt.
If you rent, do you have n/a
written permission
from your landlord to
adopt a dog? Yes No
What is your Landlord’s
name and telephone
number for verification:

Do you have a fenced in yard? No How high is your fence

at the lowest part?
Describe your fencing and gates: (type of material and
height): n/a
If you do not have a fenced yard, what arrangements
will you make to attend to your dog’s exercise and
toilet needs?: I will take the dog ouside to go to the
bathroom on a leash until we can afford to get an
electric fence.

If you pet you are interested in adopting is not yet I think Petie is
housebroken, are you prepared to house train him/ housebroken. But with
her? Cooper it was difficult
If so, what method of house training do you plan to because he was raised in
use? a kennel so I had to feed
him on a strict schedule
and be ready! Or I used
 to let him eat outside
tied up until he got the
hang of it.
During the adoption process, would you allow a Yes.
Rescue representative to visit your home? Yes
After the pet is placed, would you allow a Rescue Yes.
representative to make a follow up visit your home?
Yes
Under what circumstances would you find it necessary Maybe if I had an
to surrender your dog? Moving Marriage New illness and couldn’t take
Baby Divorce Schedule Change Illness Other care of him, but that is
(please explain) unlikely.
Do you agree to notify Bassets and Buddies Yes
Rescue if you cannot keep your adopted pet?
Yes
(As part of our legal binding adoption
agreement, your adopted pet MUST be
returned to Bassets and Buddies Rescue, if,
at any time, you no longer want or are able to
care for it).
What is the name of your veterinarian? I was given my cats Vet’s Phone Number? (207) 223-2596
less than a month ago,
already vaccinated and
fixed. So I haven’t had
the opportunity to bring
them in yet. But there
is a Vets office up the
road from me and I
got their card. Stuart
S. Shelburne, DVM,
Christopher P. Tomalty,
DVM, and Rachael A.
Emerson, DVM Ridge
Runner Veterinary
Services, Pa.
Vet’s address (street, city)? 559 So. Main St.
Do we have your permission to contact your
vet? Yes But like I said, I haven’t met one yet.
Do you understand that your new pet will need
monthly heart worm prevention and yearly
vaccinations/check-ups to remain healthy? Yes
Do you agree to provide said vet care to your adopted
pet? Yes
Describe your “ideal dog”: I really prefer to have a
rescued dog. I think they are very sweet and have had
bad lives so they appreciate a nice home. They have
wonderful personalities and have a lot of love to give.
They appreciate when they are loved and know how
to return it. I have a son and 2 cats so my ideal dog
would have to be friendly. I can’t have an aggressive
dog. From what I know of Petie, he is a friendly dog.
I really just want a companion dog. Nothing special,
just a nice personality. I miss my dog Cooper, so I
hope to find another dog to fill that void.

Please provide the names, addresses and telephone

numbers of two personal references (non-family
members): Mariza Taylor (207)659-5353. 1165
Kenduskeag Ave. Bangor, Maine. Nanci Hamlin (207)
943-3232. 1165 Kenduskeag Ave. Bangor, Maine.