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Seattle Beagle Rescue Dog Listing Agreement

Name

Home Phone

 

Address

Alternate Phone

 

City

State

Best time to call

 

Email

Zip

     
 

 

       

Dog's registered name

Dog's call name

 

Color

Weight

 

Sex

Age

 

Housebroken?

Crate trained?

 

Paper trained?

Spayed or Neutered?  

Registration papers available?

From what organization?

 

Will you provide papers?

How long have you owned this dog?

 

Is the dog co-owned?

     

Was the dog bought from a breeder? (If yes, please provide name)

 

Have you notified the breeder about the need to find this dog a new home?

 

What was the breeder's response?

 

Was the dog bought from a pet store? (If yes, give name and location)

 

Was the dog adopted from a shelter? (If yes, give name and location)

 

If not from a breeder, shelter or pet store, where did you get the dog?

 
           

Dog's veterinarian (name and city)

Are shots up to date?

 

Does dog have any physical problems?

Allergies?

 

On medication?

     

Will you provide health records to new owner?

 

If unspayed female, when was the last heat cycle?

 

If unspayed female, is there any chance the dog may be pregnant?

 

Has dog had any obedience classes?

Where?

 

Any other training? (Check all that apply)

 

 

 
Guard        
Agility        
Herding        
Tracking        
Hunting        

Other

 

 

 

 

Who was the dog's trainer?

List commands, tricks and skills

 
 

 

 

 

   
 

Dog has spent days (check all that apply)

 

   
Indoors        
Crated        
Basement        
Garage        
Fenced yard        
Loose unfenced        
Tied out        

Kennel run

 

 

   

Other

 

 

   
 

Dog has spent nights (check all that apply)

 

   
  Indoors        
  Crated        
  Basement        
  Garage        
  Fenced yard        
  Loose unfenced        
  Tied out        
  Kennel run        
  Other        
 

How does dog react to:

Other dogs?

 
 

Cats?

Strangers?

 
 

Children?

Livestock?

 
 

Alone in yard?

Alone in house?

 
 

Alone in car?

Walking on lead?

 
 

Does dog have any of the following habits:

Excessive barking?

 
 

Digging?

Jumps/climbs fence

 
 

Destructive chewing?

 

   
 

Is dog: Aggressive?

Shy?

 
 

Has dog lived with children?

If yes, what ages?

 
 

Has dog lived with other dogs?

Cats?

 
 

Does dog react aggressively to other dogs?

 
 

Does dog chase other animals? (If yes, please describe)

 
 

Has dog killed another animal? (If yes, please describe)

 
 

Has dog ever bitten a person (If yes, please describe what brought on the bite/bites)

 
 

Did wound require medical attention?

Was bite reported to animal control?

 
 

Was dog quarantined?

 

   
 

Does dog growl when you take away its food or toys?

 
 

Does dog snap or nip at people?

What causes this behavior?

 
 

What does dog like best?

Dislike?

 
 

Fear?

 

   
           

Why is this dog up for adoption?

 

   

Have you tried to place this dog yourself? (Please describe)

 

What is the most appealing thing about this dog?

 

What is its biggest fault?

 

   

Do you understand that any intact dog placed by SBR must be spayed or neutered as a term of adoption?

 

Do you understand that SBR may not be able to place this dog due to its age, health, physical condition, or lack of training?

 

May we give your phone number to approved applicants who may be interested in your dog?

 

How did you hear about SBR?

     
     

Please read the following carefully and fill in the blanks:

I , hereby make available for adoption through Seattle Beagle Rescue a beagle named .I certify that i am the owner of this dog free and clear of all other interest. I certify that this dog has no viscious or dangerous propensities and that I have not willfully concealed information about this dog that might idicate such propensities. This information I have provided about the dog is true and complete. I forever release, discharge, and agree to hold harmless and indemnify Seattle Beagle Resuce, its Board of Directors, officers and agents from all claimes demands, actions, caused for actions, or liability of any kind whatsoever arising as a result of or in connection with the adoption or any other disposition of the above-mentioned dog.

Read, understood and agreed:

(Name) (Date)