Please fill out the following adoption application and press submit at the bottom of the form. If you prefer not to submit your application online, please
click here to download the application in Word format which you can mail or fax to us.
There is a $15 fee for submitting an application to BREW. The fee does not guarantee you a certain beagle (and will not hold a beagle for you). Instead, the fee applies to the adoption *process.* Please note: The Application Fee is
non-refundable . Your application will
not be processed until the application fee has been received.
You must be at least 18 years old to adopt a BREW beagle.
Did you forget the PayPal address? First Name
*
Individual Prefix
- select -
Mrs
Ms
Mr
Dr
Middle Name Last Name
*
Spouse's Name Street Address (Primary)
*
City (Primary)
*
State (Primary)
*
- select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code (Primary)
*
Job Title/Occupation Home Phone
*
Email (Primary)
*
Work Phone Cell Phone Secondary Email Have you read and understand BREW's Standards For Adoption? Yes No Located in the Help a Beagle section of our website. Why did you choose to adopt a beagle? Who is the beagle for?
- select -
Self
Family
Other (please explain)
If Other, please explain Who will be the primary caregiver of the beagle? Self Spouse Children Other If Other, please explain Have you had beagles before? Yes No The dog will primarily be a: House Dog Outside Dog Where will the dog be left while you're out of the house?
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Run of house
Crate
Garage
Doghouse
Other (please explain)
If Other, please explain What is the longest period the dog will be left alone? How many children in the home?
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0
1
2
3
4
5
5+
How many adults in the home?
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1
2
3
4
5
6
6+
Ages of children in the home. Does anyone living at your residence have allergies to pets? Yes No If no one in your home has allergies now but develops them in the future, what would you do? Do all of the adults work? Yes No In what type of dwelling do you live?
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Single Family Home
Townhouse
Apartment
Mobile Home
Duplex
Do you own or rent? Own Rent If you rent, does your lease allow pets? Yes No How long have you lived there?
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Less than 6 months
1 year
1.5 years
2 years
2.5 years
3 years
3.5 years
4 years
4.5 years
5 years
5.5 years
6 years
6.5 years
7 years
7+ years
Are you moving within the next 12 months? Yes No If so, are your planning on taking the beagle with you? Yes No Landlord's Name Landlord's Phone Is your yard fenced? Yes No How tall is the fence?
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3 feet
4 feet
6 feet
Other
What material is the fence made of? Wood Chain Link Other If Other, please explain Have you ever trained an animal before? Yes No If you find it difficult to train the beagle yourself, are you willing to pay a professional trainer to assist you? Yes No Will you return the beagle if it is difficult to train? Yes No Are you aware that beagles are quite vocal and can bay loudly at times? Yes No Are you aware that beagles cannot be let off leash because they will run off? Yes No Do you realize that a beagle may live to be anywhere between ten and twenty years old? Yes No All pets must receive annual vaccinations and an annual physical exam by a veterinarian. There may also be other miscellaneous medical care costs throughout the year. How much do you estimate these annual costs to be? $0-100 $100-200 $200-400 $400 or more Are you willing to expend these annual costs on medical care for your beagle throughout its lifetime? Yes No Have you ever been convicted of animal neglect, cruelty, or abandonment? Yes No Question required by the Commonwealth of Virginia Other Rescues You Have Applied to Vet Clinic Name Your Vet's Name Clinic Location (City, State) Clinic's Phone Number Current Pet #1: Name Current Pet #1: Type Current Pet #1: Age Current Pet #1: Sex Current Pet #1: Altered Current Pet #2: Name Current Pet #2: Type Current Pet #2: Age Current Pet #2: Sex Current Pet #2: Altered Current Pet #3: Name Current Pet #3: Type Current Pet #3: Age Current Pet #3: Sex Current Pet Altered3 Previous Pet #1: Name Previous Pet #1: Type Previous Pet #1: Previous Pet #2: Name Previous Pet #2: Type Previous Pet #2: Previous Pet #3: Name Previous Pet #3: Type Previous Pet #3: What kind of beagle do you prefer? Male Female No Preference What age beagle do you prefer?
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No Preference
Pup
1-3 years
3-5 years
5-7 years
7 and older
What color beagle do you prefer? Tricolor Lemon Red & White No Preference What energy level do you want in a beagle? High Energy Couch Potato In the middle If you are interested in a specific beagle, or multiple beagles, please indicate their names and any comments in the box below. Can you commit to caring for this beagle for the remainder of its life and to being legally bound by the BREW adoption contract? Yes No We expect you to commit to caring for this beagle for the remainder of its life. Payment Option - we strongly encourage PayPal PayPal Check We *strongly* encourage you to pay the fee via Paypal.here to learn more about why paying via Paypal is safe and secure.BREW PO Box . Please note that we do not check the PO Box during the week. Your application will not be processed until the check is collected and deposited. This may result in the beagle you're interested being adopted prior to consideration.
Mid West Adoption 