Basenji Rescue and Transport
 Providing safe harbors and strong anchors for Basenjis set adrift.

Adoption ◦ Placement ◦ Health & Foster Care ◦ Education ◦ Support

 
Basenji Rescue and Transport, Inc.
RE-HOME A Basenji

Posting a Basenji here implies that you are asking Basenji Rescue & Transport Inc. (BRAT) to help you place your dog(s) with a new family or individual.

Our BRAT volunteers will evaluate your application and may be in contact with you before we determine whether we can assist you. BRAT does not guarantee that we will be able to help find your dog a new home.

Please note that neither BRAT nor the family or individual adopting your purebred Basenji is expected to compensate you any amount for the dog. However, if you are posting a Basenji-mix, you may request the adopters pay a nominal fee of up to $100 to ensure the applicants are serious about the best interest of your dog. If you are a shelter asking for help in placing your Basenji-mix, then your fees will apply, and should be noted in the write-up of the dog.

Ideally, the Basenji should come with a crate (one in good condition), be current on all shots and heartworm medication, have been spayed/neutered, and have recent results from a fecal test. If your Basenji is not up-to-date on vetting—or if you're in a position to help—it would be greatly appreciated if you would make a donation to us to help off-set our costs while the dog is in our care, waiting for its forever home. The BRAT representative that contacts you may discuss this with you and explain how your money will be used.

Answer as completely as you can. Any information you can not supply, leave blank. PLEASE NOTE: The information you leave may be posted either on this Web site and/or on BRAT-owned mailing lists of volunteers and applicants. In other words, it will become public information. You may want to review our Privacy Policy. Click the link to read.

Please do not be intimidated by the length of this form. The more information supplied about the dog, the better a match can be made with a new owner.

Please note: Neither Basenji Rescue & Transport Inc. (BRAT), nor its volunteers, coordinators, representatives, Internet service provider and its officers, employees, contractors and representatives; and any other person, firm or corporation involved with the efforts or business of this corporation, shall be held liable or responsible for any claims or causes of action incurred as a result of the provision or restriction of information, services, contacts, adoptions, fostering, veterinary care or by the actions of any and all dogs transferred or referenced herein.

By completing and submitting this form, you attest that you have read the above disclaimer and agree to the terms therein.

 
 
About Your Basenji
The dog is a: purebred Basenji  Basenji mix
Dog's name:
What state is the dog in:
Date of birth (if known): (mm/dd/yy)
Gender: Male  Female
Color: Red  Black  Tri  Brindle  Other 
Weight: (pounds)
Neutered/Spayed: Yes  No  Don't know 
It is BRAT's policy to contact the breeder when asked to re-home a purebred Basenji. By providing the pedigree/breeder information to BRAT, you are authorizing us to contact the breeder.
Responsible breeders welcome the opportunity to help re-home dogs of their breeding. In fact, responsible breeders often place Basenjis on contracts that require that the dog be returned to them.
AKC number:
Dog's registered name:
Sire's name:
Dam's name:
Breeder:
Breeder's address:
City, State, Zip, Country:    
Breeder's phone: (include area code)
Breeder's Email address:
Have you contacted the breeder about returning your Basenji? Yes  No 
Did you purchase your Basenji from a pet shop? Yes  No  Don't know 
Please use this box to include any comments you may have about your Basenji's pedigree, the breeder of your Basenji and/or where you purchased the Basenji:
 
Health Information
Veterinarian:
Address:
City, State, Zip, Country:    
Phone: (include area code)
Email address:
Is the dog healthy? If No, please explain any health problems, conditions, allergies, etc. the dog has:
Vaccinations  
DHLP: Yes  No  (mm/dd/yy)
Parvovirus: Yes  No  (mm/dd/yy)
Rabies: Yes  No  (mm/dd/yy)
Coronavirus: Yes  No  (mm/dd/yy)
Bordetella: Yes  No  (mm/dd/yy)
Lyme Disease: Yes  No  (mm/dd/yy)
Medical Tests  
Fecal: Yes  No  (mm/dd/yy)
Heartworm: Yes  No  (mm/dd/yy)
Urine tested for sugar/Fanconi: Yes  No  (mm/dd/yy)
Worms: Yes  No  (mm/dd/yy)
Other tests: Yes  No  (mm/dd/yy)
If other tests, please explain:
Is the dog on monthly heartworm prevention meds?
If yes, list the last date given:		 Yes  No  (mm/dd/yy)
Is the dog on any other regular medication? Yes  No 
If the dog is on any other regular medication, list type, reason, how administered, how often, etc:
Do you have a rabies certificate? Yes  No 
Is the dog tattooed?? Yes  No 
Is the dog micro-chipped? Yes  No  Don't know 
If there is any other medical infomation you would like to share, please do so:
 
Eating Habits
Eating schedule: Once a day  Twice a day  Don't know 
Type of food: Dry food  Wet food  Both  Don't know 
Brand(s) of food:
Begs for food? Yes  No  Don't know 
Food dislikes:
Favorite foods:
Additional feeding instructions:
 
Temperament
Briefly describe your dog's personality. Is s/he shy, aggressive, timid, confident, tolerant, snarky, well socialized, etc?
Lived with children? Yes  No  Don't know 
Likes children? Yes  No  Older kids only  Don't know 
Lived with cats? Yes  No  Don't know 
Likes cats? Yes  No  Don't know 
Lived with dogs? Yes  No  Don't know 
Likes dogs? Yes  No  Don't know 
Prefers men or women? Men  Women  Either 
Likes strangers? Yes  No  Don't know 
Nips (playfully)? Yes  No  Don't know 
Bites (in anger)? Yes  No  Don't know 
Crate trained? Yes  No  Don't know 
Where does the dog sleep?
(outside, in bed, in another room, etc)
House broken? Yes  No  Don't know 
Destructive inside house? Yes  No  Don't know 
Destructive outdoors? Yes  No  Don't know 
Dog is a climber? Yes  No  Don't know 
Dog is an escape artist? Yes  No  Don't know 
Easily startled? Yes  No  Don't know 
Wakes up grouchy? Yes  No  Don't know 
Rides well in car? Yes  No  Don't know 
Gets carsick? Yes  No  Don't know 
Rides in crate? Yes  No  Don't know 
Yodels? Yes  No  Don't know 
Screams? Yes  No  Don't know 
List any other significant thing that a new owner would want to know:
(recall word, bolting, etc.)
 
Your Information
Your name:
Address:
City, State, Zip, Country:    
Day phone: (include area code)
Evening phone: (include area code)
Email address:
(use none@none.com if no email)
Time owned dog: (years, months)
Previous owner:
Reason for placement:
Placement deadline:
  (Please note: The placement deadline is solely for informational purposes. BRAT cannot guarantee that it will be able to re-home your Basenji by your stated placement deadline.)
Does dog have a crate? If so, please list the size, etc:
Have you advertised this dog for adoption elsewhere? If so, please list all places where you have previously posted the dog:
   
   
 

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