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Adoption Application – Prior Adopter
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Adoption Application – Prior Adopter
Adoption Application – Prior Adopter
Have you read and understood BREW's Standards for Adoption?
(Required)
The Standards for Adoption are available under the Adopt menu.
Yes
No
BREW Mid-Atlantic dogs are in VA, MD, DC and southeastern PA. We do NOT ship or transport dogs. You must come to the area to meet and take home a BREW beagle.
(Required)
I am in the BREW service area.
I am outside the BREW service area but will come to where the dog is to meet and adopt.
Applicant Information
Name
(Required)
First
Last
Spouse/Significant Other Name
First
Last
Address
(Required)
Street Address
City
State
ZIP / Postal Code
Preferred Phone Number
(Required)
Alternate Phone Number
Email
(Required)
What are the names of the BREW dogs you have adopted and approximately when?
(Required)
Home Life
To allow us to match you with the right beagle(s).
Have you moved since you adopted your last dog from BREW?
(Required)
Yes
No
In what type of dwelling do you live?
(Required)
Single family
Townhouse
Apartment/Condo
How long have you lived there?
(Required)
Do you own or rent?
(Required)
Own
Rent
If you rent, does your lease allow pets?
(Required)
Yes
No
Please provide your landlord's name and contact information.
(Required)
Is your yard fenced?
(Required)
Yes
No
If yes, what material(s) is the fence made from and how tall is it? If multiple materials and heights, please explain.
(Required)
Are you moving in the next 12 months?
(Required)
Yes
No
Information on Current & Former Pets (owned in the last five years)
We will confirm that your pets – current and former – were up-to-date on required vaccines, spayed/neutered and on heartworm prevention medication. We do take vet recommendations into account (i.e., a pet was too sick for vaccines). YOU MUST INCLUDE ALL PETS OWNED IN THE LAST FIVE YEARS BELOW, INCLUDING ANY BREW BEAGLES.
Veterinary Practice Name (most recent)
(Required)
Veterinary Practice Phone
(Required)
Have you owned any dogs or cats in the last five years?
(Required)
Yes – list below
No
1 – Pet's Name
1 – Species (dog, cat)
1 – Breed (dogs)
1 – Age (if deceased, note age & "D")
1 – Altered?
Yes
No
1 – Current on vaccines?
Yes
No
1 – On heartworm preventative?
Yes
No
Monthly pill or annual vaccine
2 – Pet's Name
2 – Species (dog, cat)
2 – Breed (dogs)
2 – Age (if deceased, note age & "D")
2 – Altered?
Yes
No
2 – On heartworm preventative?
Yes
No
Monthly pill or annual vaccine
2 – Current on vaccines?
Yes
No
3 – Pet's Name
3 – Species (dog, cat)
3 – Breed (dogs)
3 – Age (if deceased, note age & "D")
Altered?
Yes
No
Current on vaccines?
Yes
No
On heartworm preventative?
Yes
No
Monthly pill or annual vaccine
4 – Pet's Name
4 – Species (dog, cat)
4 – Breed (dogs)
4 – Age (if deceased, note age & "D")
4 – Altered?
Yes
No
4 – Current on vaccines?
Yes
No
4 – On heartworm preventative?
Yes
No
Monthly pill or annual vaccine
If you've had additional pets in the last five years or need to provide additional vet practice details provide it below.
Your Preferences
Sex
Male
Female
No preference
Age (select all that apply)
Puppy
1-3 years
3-5 years
5-7 years
7-10 years
10+ years
Color (select all that apply)
Tri-color
Lemon
Red & white
No preference
Energy level(select all that apply)
High energy
Couch potato
In the middle
No preference
If you are interested in specific beagles, please indicate their names and any comments. **Note that you will not be limited to these beagles and that those you are interested in may be adopted before you are approved. But we are always getting in new dogs and promise to find you your match.**
Application Fee
BREW waives the application fees for prior adopters.
(Required)
Acknowledged
