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Active Application

Adoption Application 
All fields are mandatory. If a question does not apply to you, simply type N/A

We suggest giving as much information as possible.

*** For proper form submission please open in a web browser or in desktop mode from your mobile device ***

Contact Information:
Family unit consists of: (e.g.Mom, Dad, Partner, ages of children, roommates)
Employment - list occupation, work place and hours worked for each adult.
Family Activity Level - laid back/light, casual, moderate, active, very active?
Who will be the primary caregiver for this dog? Who will care for the dog when the primary caregiver is away for work, on vacation, is ill, or other extended periods?
How many hours a day will the dog be left home alone? Where will the dog be kept during these periods?
How often, on average, do people visit your home?
Explain how you will introduce visitors to your dog.
Have you taught your children or how will you teach visiting children how to interact with your dog?
What type of home do you live in? Ex: detached, mobile, apartment, etc
Do you rent or own?
If you rent, please provide your Landlord contact information:
Do you have a fenced yard? What type, ie: wood, chain link, 4ft, farm fence, etc.
Are you planning any of the following in the next 3 to 6 months - moving, vacation, change in schedule with work?
Are you a first time dog owner? First time dachshund owner?
Do you currently have any pets? Please list by breed and age.
Are the pets listed above spayed or neutered? If not, please explain why.
If you have had pets in the last five years that are no longer with you, explain why. (example: passed away at age of 16, marital break-up, etc)
Have you adopted from a shelter or rescue before? If yes, provide details.
Have you ever sold, surrendered or given away any of your pets. If yes, please explain.
What is your opinion on obedience training? Do you have any experience with training a previous pet?
Are you interested in a specific dachshund? If yes, please provide their name(s).
Do you have a preference to a specific type of dachshund? If yes, please explain (coat, color, age, sex, etc)
If you indicated a preference, do you have a second choice?

Are you willing to adopt a Dachshund that? 

(click all that apply)

Vet Reference: Please provide the name, and telephone number of your veterinarian (required for all applicants who own or have owned a companion animal).  If the account is not under your name please indicate the name that it is under.

Notify your Vet that they can release information to an ACDR Representative.

Reference #1: Please provide the name and telephone number of someone who knows you well (not family).

Reference #2: Please provide the name and telephone number of someone who knows you well (not family).

Do you have anything you would like to add? (this section is not required)
By typing your name, you certify that the information provided in this application is true to the best of your knowledge as of the date of the application.
Signature:
Date:

Your Adoption Application has been submitted.  Thank you!

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