Thank you for your interest in adopting one of our dogs. Please complete and submit the form below. If you are looking for a dachshund, please be sure to complete the section of the form specific to dachshunds. 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) Submit Share this:TwitterFacebookLike this:Like Loading...