Adoption Application 1Contact Information2Verification3Environment and Preferences4Signature Name(Required) PrefixDr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Address(Required) Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Primary Phone(Required)Alternate Phone NumberEmail(Required) Do you have a fenced yard? Family unit consists of:Vet Reference:Reference #1:Reference #2: Are you interested in a specific Dachshund available through the Atlantic Canadian Dachshund Rescue (Name)?Do you have preferences for a certain type of Dachshund? If so, please specify (size, coat).If you have indicated preferences, please explain them (e.g. why you prefer male to female).If you have indicated preference, are you flexible? Do you have a second choice?Are you willing to adopt a Dachshund that: Has been abused and may be shy or fearful. Is not totally house trained. (Note that most Dachshunds will NEVER be 100% house trained.) Is known not to be good with children. Is on medication. Do you own any pets? If so, please list each pet by name, species, breed, and age.Have all the animals listed above been spayed/neutered? If not, what are the circumstances?If you had a pet in the last five years that you no longer have, what happened to it? Please provide a detailed answer. (e.g. if a dog died, what was the cause of death and age of the dog?)What routine medical treatments/preventives do you consider necessary for a dog? How much would you spend annually?How often, on average, do people visit your home?Explain briefly how you will introduce visitors to your Dachshund.Have you taught your children (or how would you teach visiting children) to interact with a dog?Who will be the primary caregiver for this dog? Who will care for the dog when the primary caregiver is away - at work or on vacation?How many hours will the dog be left home alone during the day? Where will the dog be kept during these hours?Do you own or rent your home?(Required) Own Rent If you rent, do other tenants have dogs?What is your opinion of obedience training? Have you ever done it with one of your own dogs? Date(Required) YYYY dash MM dash DD Signature(Required)You can use your mouse or if you're on a phone or tablet, you can use the touch screen to sign your name here.CommentsThis field is for validation purposes and should be left unchanged. Δ Facebook Twitter Instagram Follow us here