Adoption Application

4212 Beardsley Dr. Mont., AL 36109 info@dixiedachshundrescue.com

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Home
About
- Dachshund Information
- Dachshund Memorial
Adopt
Foster
- Foster Application form
Support
- Volunteer
- Support Thanks
Contact

Donate

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Adoption Application

Adoption Application Form

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Please fill out the application for adoption in it’s entirety. We take the job of finding our Dachshunds the very best homes very seriously and make sure that they are a good fit for the new home and the new home a good fit for them. Thank you for deciding to adopt!

Your Name *

What is the name of the dog you are applying for? *

Your Email *

Phone Number *

Street Address, City, State & Zip Code: *

Employer & Work Telephone: *

Spouse's Employer & Work Telephone: *

What are the working hours of the adults in the house?: *

Who will be primarily responsible for the care of the dachshund?: *

Is everyone in residence agreeable to adopting a dachshund?: *

Yes

How many people residing in your home and please list names of adults?: *

Do you often have visiting grandchildren or neighborhood/other children?: *

Yes

Are you willing to teach the proper care and treatment of a dachshund to your children or any other children the dachshund would come in contact with?: *

Yes

Does anyone in residence have either (or both) Animal allergies?: *

Yes

Have you given careful consideration to the financial responsibility of pet ownership?: *

Yes

Are you aware of the special needs of a rescue dachshund?: *

Yes

Are you aware of the time and patience involved with rescue dachshunds, please explain?: *

For whom are you adopting?: *

Why do you want to adopt a rescue dachshund?: *

Please list pets you now have in your home . Be sure to include the following information on each of your current pets: Breed Owned | Male/Female | Spayed or Neutered *

Are your pet (s) up-to-date on shots *

Yes

Are your pet (s) tested for heartworms & on heartworm preventative?: *

Yes

Would your pet (s) accept a new dog?: *

Yes

Have you had pets in the past? If so, please tell us about them and what happened to them: *

Do you own your own house?: *

Yes

If renting, we require the landlord's written consent before placing a dachshund in your home. Please include this consent when you return this application. Application cannot be processed without written consent. Landlord's name:

Landlord's Street Address, City, State and Zip

Landlord's Phone Number

Do you have a securely fenced yard? What type of fence and how high?: *

Would you adopt a pair of dachshunds, if they could not be separated?: *

Yes

Are there any stairs in your residence?: *

Yes

Who will care for the dachshund while you are at work & on vacation?: *

Would the dachshund be allowed to sleep in bed with either you or other family members?: *

Yes

Would you be willing to take the dachshund for obedience training?: *

Yes

Are you familiar with the necessary annual shots, heartworm testing and prevention?: *

Yes

Are you familiar with flea/tick treatment and prevention?: *

Yes

What do you intend to feed the dachshund?: *

Will the dachshund have access to fresh water at all times, and how?: *

Type of dachshund preferred: *

Age preferred, up to what age would you be willing to consider?: *

Sex preferred?: *

Male

Female

Coat preferred?: *

Color preferred?: *

Please give Information about your past pets and why they are no longer with you?: *

Veterinarian's Name: *

Veterinarian's Address & Telephone: *

How long have you been a client?: *

Reference No. 1 (Do not list any relatives or people living with you) Ref. 1 First & Last Name: *

Ref. 1 Address, City, State & Zip: *

Ref. 1 Telephone: *

Ref. 1 Email: *

Reference No. 2 (Do not list any relatives or people living with you) Ref. 2 First & Last Name: *

Ref. 2 Address, City, State & Zip: *

Ref. 2 Telephone: *

Ref. 2 Email *

Have you ever been turned down by any rescue organization for adoption of a rescued animal. If so, explain why?: *

If you are working with another rescue, please provide name, contact name & telephone:

I understand that upon submitting this document for review, that it is legally binding and any false information given will be just cause for immediate denial of adopting a rescued dachshund from this organization. Signing this application constitutes your permission to check all references given herein. *

Date Signed *

NEEDED! Foster Homes for Doxies!

If you have the room and time to love an abandoned Dachshund, PLEASE take a moment to fill out a Foster Home Application. We cannot save Dachshunds without your help. So PLEASE join us in saving lives.

* NOTE – A foster home is a temporary home for the Dachshunds until the Dachshunds finds its forever family. Foster homes are limited to Alabama and Florida.

Why Adopt?

There are forty five cats and dogs for every person born. Only one out of every ten dogs born ever get a home. Only one out of every twelve cats born ever find a home. Eight hundred dogs & cats are KILLED each HOUR in the United States, because there are not enough homes for them.

DON’T BUY FROM A PET STORE OR BREEDER.
OPT TO ADOPT!!!!

Donors

Donors make our work more effective and keep our pets healthier and happier by making it possible for us to provide proper veterinary care and foster care services to our doxies for adoption to a forever home.

Donate Now

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NEEDED! Foster Homes for Doxies!

Why Adopt?

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