Beagle Adoption Application  

Cascade Beagle Rescue

4370 NE Halsey Street

Portland, OR 97213

Phone: 503.299.4084

Toll Free Fax:     1.866.202.4223

Email: [email protected]


Cascade Beagle Rescue wishes the very best for the dog that is being placed.  For its benefit, please complete this form as honestly and truthfully as possible so your dog can be placed in the best suited home.

Rescue Dog Admission Information

*= Required Fields

Personal Information
* Name (First and Last):
* Street Address:
*Zip Code:
* Home Phone:
Cell Phone:
Work Phone:
Can we contact you at work? Yes   No
Hours you are at work
Days you are at work

Dog Information

Name:              Date of birth (if known):
Breed: Purebred? Yes No  
If a mixed breed, list which breeds:  
AKC Registered? Yes No  
Registration #:  
Papers should be faxed or emailed to CBR-West  
Has your beagle been altered (spayed or neutered)? Gender:
This beagle would be considered a:  
Age of beagle when you acquired it:  
Acquired from:  
How long have you had this dog?  
Please describe IN DETAIL the reason(s) for relinquishing this dog):

If your beagle was obtained from a breeder, have you contacted the breeder to see if the dog may be returned?

Yes No

Who was the breeder? How can we contact them?

Dog's Behavior Traits

Does/is your dog....? (Please check all that apply and add any that are not listed):


bark excessively dig Other:
bite destroy property

mouth/nip have separation anxiety
jump fences aggressive towards other dogs
rides well in car aggressive towards people
housebroken aggressive towards children
playful aggressive towards cats and/or other animals
obedient likes other dogs
smart likes people
gentle likes children
sweet likes cats and/or other animals

What is the worst thing about your beagle?

What is the best thing about your beagle?

What tricks (if any) does your beagle know?
Has your beagle completed obedience classes? Yes No
Does your dog live with? (Please check all that apply)
    other dogs


Where does your beagle sleep?
Is your beagle allowed on the furniture? Yes No Is your beagle allowed on the bed? Yes No
Is your beagle crate-trained? Yes No  
List your dog's current veterinarian:

Phone number of veterinarian's office:

List any health issues that your dog has:

List any medications that your dog is taking:

Does your dog have any allergies? Yes No

Is your dog microchipped?   If yes, please list the ID number:

  Vaccinations Date given: Due:



What brand of dog food does your dog eat?

What will you send along with your dog to its new home? (toys? bed? crate? collar? leash? food? medications? etc.)

Where did you hear about CBR?

Internet Search/Web

Word of Mouth/Friend
Sign or Poster
Newspaper Article


Which one?


Which one?

  Other (please explain)


 hereby certify that the above listed information is true and accurate to the best of knowledge.

(print name)


Note: After completing this online form, another form will need to be downloaded, completed, signed, and faxed to: 1.866.202.4223 or mailed to the address at the top of this form.  You will be given the link after this form is submitted.**



Please email us with your comments, questions or suggestions.