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Adoption Application Form

All items with an asterisk (*) are mandatory

Contact Information:
Do you have a fenced yard?
Family unit consists of: (e.g.Mom, Dad, ages of children, roommates)

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 last name please indicate the name that it is under.  Notify the Vet that they can release information to ACDR Rep.

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).

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? *

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?

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.

Your content has been submitted

Signature:
Date:
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