Adoption Application

Adopter Name(required)

Co-Adopter Name

Street Address(required)

City(required)

State(required)

Zip Code(required)

Home Phone

Cell Phone(required)

Email address(required)

Starting with yourself, list all the occupants of your home including their ages:

Have you had a dachshund before?(required) Yes

No

Do you have one now?(required) Yes

No

Are you aware that dachshunds may not be best for homes with small children?(required) Yes

No

Are you aware that dachshunds are genetically prone to back problems?(required) Yes

No

Describe the reason you are choosing a dachshund and describe the unique characteristics of a dachshund that you are familiar with?(required)

Are you interested in a specific dog(s)?(required) Yes

No

If yes, which one?(required)

List all the pets in your home, include breed, sex, age and how long you have owned each pet:(required)

List all the pets you have had in the recent past and why they are no longer with you:(required)

Are all your pets spayed/neutered?(required) Yes

No

If no, why not?(required)

Are all your pets current on vaccinations?(required) Yes

No

If no, why not?(required)

Are you willing to adopt a dog that needs potty training?(required) Yes

No

Are you willing to adopt a dog that has behavioral issues?(required) Yes

No

What brand of dog food do you use?

High quality dog food is very important. Are you willing to use raw or grain free dog food?(required) Yes

No

Where will the dog sleep at night? (required) Their own bed

My bed

Outside

Crate

Other

If other, please explain(required)

Where will the dog be kept when you are home?(required) Inside

Outside

Where will the dog be kept when you are at work or away from home?(required)

How many hours each day will the dog be left alone?(required)

If the adoption does not work out, do you agree to return the dog to Dachshunds and Friends Rescue? (required) Yes

No

If at any time in the future, you or your family is no longer able to care for the dog, do you agree to return the dog to Dachshunds and Friends Recuse? (required) Yes

No

What plans have you made for your dog if your dog should outlive you?(required)

If the dog should have some unexpected health issues or accident, what is your course of action? How much is the maximum you would be able to spend on vet bills?(required)

What type of home do you have? House

Condo

Apartment

Mobile Home

Do you own or rent your home?(required) Own

Rent

If you rent, does your landlord allow pets?(required) Yes

No

Not Applicable

Are there stairs in your home?(required) Yes

No

Does your home have a doggie door?(required) Yes

No

Is your yard fenced?(required) No yard

Block wall

Chain link

Wood

Other

Not Applicable

Do you have a pool?(required) Yes

No

If yes, will you install an alarm, cover or fence?(required) Yes

No

Alarm / Cover / Fence already installed.

Do you use a pool service, gardening service or cleaning service? (required) Yes

No

If yes, how will you prevent your dog from getting out?(required)

Veterinarian’s name and phone number:(required)

Personal Reference #1 Name(required)

Personal Reference #1 Phone Number(required)

Personal Reference #2 Name(required)

Personal Reference #2 Phone Number(required)

By checking the box, I acknowledge that I am willing to pay an adoption fee for each dog adopted from Dachshunds and Friends Rescue. The average adoption fee is $375 but can vary higher or lower. Please note that there is no profit made on the adoption of this dog. All fees are used toward the medical care, food, etc ., required for our dogs. I agree to allow a home check prior to adoption.(required)

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