Basset Rescue Of Old Dominion Shelter Referral Form

BROOD serves as a safety net for adoptable Basset Hounds in shelters. Our intake capacity is limited, and we ask that every effort be made to adopt the dog locally before contacting BROOD. BROOD can no longer automatically accept every dog; each will be taken in on a case by case basis.

This Shelter Referral Form must be completed for all dogs prior to a final intake decision being made and prior to the dog being physically removed from a shelter by a BROOD volunteer. All intake decisions are solely made by the BROOD Intake Committee.

If you have any questions about BROOD's policies or our process, please contact the BEFORE you submit the Shelter Referral Form.

If you are completing this shelter referral on behalf of someone else, please provide your name and email below.

Select Date
Stray
Owner Relinquishment
Yes
No
Select Date
Yes
No
Not Sure
Male
Female
Yes
No
Not Sure
Yes
No
Partially
Not Sure
Yes
No (describe below)
Rabies
DHLP
Bordetella
None
Yes
No
Yes
No
Not Sure
Yes
No
Not Sure
Yes
No
Not Sure
Friendly/Playful
Friendly/Laid Back
Timid/Shy/Fearful
Withdrawn/Depressed
Aloof
Aggressive
Pushy/Dominant
Submissive
Yes
No
Visual Verification Image

* Required