Basenji Rescue and Transport
 Adoption ◦ Placement ◦ Health & Foster Care ◦ Education ◦ Support
 www.basenjirescue.org


Post a Basenji for Adoption

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.

Basenjis available for rescue should, ideally, come with a crate (one in good condition), be current on all shots and heartworm medication, and have recent results from a fecal test.

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.

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 pressing the Press to Send button below, you attest that you have read the above disclaimer and agree to the terms therein. Otherwise, please press Reset to abort.

For more information about Basenjis, check our links!

About Your Basenji

This dog is a

 Purebred Basenji   Basenji mix

Call Name

What state is the dog in?
Registered Name

Date of Birth

Gender

 Male  Female

Color

 Red   Black   Tri   Brindle

Weight

 Pounds

Neutered/Spayed?

 Yes   No  Not sure
It is BRAT's policy to contact the breeder when asked to re-home a purebred Basenji. By providing the following 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 #
Sire's Name
Dam's Name
Breeder
Address
City/State/Zip
Phone (include area code)
E-mail Address  
Have you previously contacted the breeder of your purebred Basenji? Yes   No  Breeder unknown
Did you purchase your Basenji from a pet store? Yes   No 
(BRAT does Not Notify irresponsible breeders of pet store dogs.)
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
Phone (including area code)
Is the dog healthy? Yes  No
If No, please explain any allergies and/or current health problems dog has.
Vaccinations: Yes    No         date
         DHLP
         Parvovirus
         Rabies
         Coronavirus
         Bordetella
         Lyme Disease
Medical Tests: Yes    No         date
         Fecal
         Heartworm
         Fanconi
         Worms
         Other (list below)
 List Other
Is dog on medication Yes No (including heartworm)
If Yes, list type, reason, how administered, how often, etc.
If the dog is on regular heartworm meds, list the last date given.
Rabies certificate? Yes  No
Is the dog tattooed? Yes  No
Micro-chipped? Yes  No  Don't know
If there is any other medical information you would like to share please do so.

Eating Habits
Dog eats Once a day  Twice a day
Dry food  Wet food  Both
Brand of dry food
Brand of wet food
Food dislikes
Favorite foods
Feeding instructions
Begs for food? Yes  No

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 human 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
The Basenji sleeps?
(outside, in another room, in bed, etc.)
Housebroken? Yes  No  Don't know
Destructive inside? Yes  No  Don't know
Destructive outside? Yes  No  Don't know
Dog is a climber? Yes  No  Don't know
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 the car? Yes  No  Don't know
Gets carsick? Yes  No  Don't know
Rides in a crate? Yes  No  Don't know
Yodels? Yes  No  Don't know
Screams? Yes  No  Don't know
List anything else of significance that a new owner would want to know (a recall word, bolting tendencies, etc.)

Your Information
Human's Name
Address
City/State/Zip
Day Phone (include area code)
Evening Phone (include area code)
E-mail address  
Use None@None.com if No e-mail address.
I've owned the dog years months
Previous Owner
Reason for Placement
Placement Deadline (Note: This is solely for informational purposes. BRAT cannot guarantee that it will be able to re-home your Basenji by your stated placement deadline.)
Dog has a crate Yes   No
Size of crate? Don't know
Have you advertised this dog for adoption elsewhere (i.e. on-line, newspaper)? If so, list all places where you have previously posted the dog. Yes   No

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