How did you hear about us?


1. Name, age and relationship of those residing with you.
 

2. Your age?

3. Do you often have other people visiting your home?
Yes No

4. Grandchildren?
Yes No

5. Other children?
Yes No

6. Is everyone in the residence and family agreeable to adopting a Dachshund?
Yes No

7. Have your children (if applicable) been exposed to Dachshunds?
Yes No Not Applicable

8. Are you willing to teach everyone in your home, and all visitors, the proper care and treatment of your new dog?
Yes No

9. Are you willing to teach young children the proper care and treatment of your new dog?
Yes No

10. Are you willing to always monitor young children with your new dog?
Yes No

11. Even a dog that has proven reliable with young children?
Yes No

Are you willing to?

12. Read books about the Dachshund Breed, and discuss the breed with your veterinarian, animal behaviorists, and other professionals in order to better understand the breed and their special characteristics?
Yes No

13. Take the dog to a veterinarian at least once a year for a physical exam and shots?
Yes No

14. Take the dog to a veterinarian when ill?
Yes No

15. Welcome the dog into your family as a permanent member?
Yes No

16. Return the dog ONLY to the Las Vegas Hot-Diggity Dachshund Club and Rescue if you decide he/she cannot be a member of your family?
Yes No

17. Do everything within your power, and with the help of your veterinarian, and/or other professionals to ensure that the dog has a long, healthy life?
Yes No

Have you given careful consideration to all the following?

18. Financial obligations of responsible pet ownership?
Yes No

19. Special needs, time and patience involved with rescue dogs?
Yes No

20. Who will care for the dog, and where will the dog be kept?


21. Have you ever owned a dog?
Yes No

22. Have you ever owned the Dachshund Breed before?
Yes No

23. Why do you want to adopt a rescued dog at this time?


24. Do you currently own any other pets?
Yes No

25. If yes, then please provide name, species, breed and age of each:


26. Have ALL the animals listed above (if any) been spayed or neutered?
Yes No  Not Applicable

27. If you have previously owned dogs, what happened to those no longer living with you?


28. What do you know about the characteristics of the Dachshund Breed?


29. Are you familiar with the unique personality of a Dachshund?
Yes No

30. Are you aware that purebred Dachshunds can have a predisposition to back problems, weight gain, and house training problems?
Yes No

31. Are you aware that purebred Dachshunds are not the best choice for families with very young children?
Yes No

Are you willing to adopt a dog that is:

32. Older?
Yes No

33. If you answered yes above, what ages are you willing to consider?
Over 10 years   7 to 10 years  5 to 7 years

Are you willing to adopt a dog that is:

34. Abused?
Yes No

35. Not reliable with children?
Yes No

36. Physically handicapped?
Yes No

37. Requires ongoing medication?
Yes No

38. Requires continued house training?
Yes No

39. Would you consider adopting a pair of dogs in the case that two dogs shouldn't be separated and need to be placed together?
Yes No

40. Type of residence?
House Condominium Apartment

41. Own or Rent?
Own Rent

42. If renting, is your landlord agreeable to you having a rescued Dachshund?
Yes No Not Applicable

43. Do you have a yard?
Yes No

44. If you do, is it fenced?
Yes No Not Applicable

45. Do you have a exercise program for the dog?
Yes No

46. Do you have a swimming pool or spa?
Yes No

47. If you do, is it safety fenced?
Yes No Not Applicable

48. If not safety fenced, do you have a pool alarm system?
Yes No Not Applicable

49. Are there stairs in your residence?
Yes No

50. Where will the dog be kept during the day?


51. How many hours a day will the dog be left home alone?


52. Where will the dog sleep?


53. Who will take care of the dog while your at work?


54. Would you be willing to take the dog for obedience training if needed?
Yes No

55. Are you familiar with the necessary shots (annual)?
Yes No

56. What do you intend to feed the dog?


57. If needed, how will you housebreak the dog?


Please list preferences:

58. Color:
Red
Black and Tan
Other
No Preference

59. Coat:
Smooth
Long
Wire
No Preference

60. Size:
Miniature (11 lbs and under at 12 months of age)
Tweenie (that unrecognized size between 11 and 18 lbs)
Standard (18 lbs and over at 12 months of age)
No Preference

61. Gender:
Male Female Either

62. Preferred age range:


63. Anything you would like to add that would help in determining the correct animal for your living situation?


Name, address and telephone number of:

64. Landlord: (if applicable)


65. Veterinarian:


66. References:
1.
2.
3.

Note: Failure to provide telephone numbers for landlord (if applicable), veterinarian and references will result in your application being delayed. If none please explain why.

67. If you are applying to adopt a specific animal, please enter the name of the animal you are interested in.

The information provided in the application (in its entirety) is true to the best of my knowledge as of the date on this application. I agree that submission of this form will constitute a legally signed document.

(enter your name to "sign")