Home phone (with area code):
Work phone (optional):
Cell phone (optional):
AHDRS rep/Foster name:
Name of Animal:
How did you hear about
Are you currently working with another rescue at this
Preferred Age Range:
If you indicated
preferences, please explain. Are you flexible? Do you have a second
Are you willing to adopt a dachshund mix?
willing to adopt a Dachshund that has been abused and therefore may
be anxious or may take a while to warm up to you?
willing to adopt a Dachshund that is not reliable with children?
Are you willing to adopt a Dachshund that has a physical deformity
Are you willing to adopt a Dachshund that requires
ongoing medication other than heartworm preventive?
willing to adopt a Dachshund that is not completely housebroken?
Are you willing to adopt a pair of dachshunds that cannot be
Do you currently own any other pets?
please provide name, species, breed and age of each:
If you own
dogs, how would you describe their personalities? Dominant,
submissive, playful, aloof, etc.:
If you own cats, have they
been exposed to dogs? How do they react?
Have ALL of the animals
listed above (if any) been spayed or neutered?
If no, what are
If you have previously owned dogs, what
happened to those no longer living with you?:
and Your Family
Please list your age and the name, age and relationship of all people residing with you::
often, on average, do other people visit your home?
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 for the dog?
How many hours will the dog be left
at home alone during the day? Where will the dog be kept during
Type of residence:
Own or Rent:
yard completely fenced?
If so, how high is the fence?
renting, is landlord agreeable to you having a rescued dachshund?
If renting, please provide the name, address and phone number of
Living with a Dachshund
What would you say are the best dachshund
characteristics? The worst?
What routine medical
treatments/preventives do you consider necessary for a dog?
About how much would you expect to spend annually on medical care
for a healthy dog?
Please describe what you know or assume about
the special needs of rescue dachshunds:
What is your opinion of
obedience training? Have you ever done it with one of your dogs?
Where will the dog sleep?
What do you intend to feed your dog?
Please be specific, including brand.
References - Veterinarian
provide the name, location and telephone number of your veterinarian
(required for all applicants who have owned a companion animal).
NOTE: By submitting this application, you give permission to AHDRS
to retrieve information from your veterinarian. PLEASE CALL YOUR VET
AND TELL THEM TO RELEASE THE INFORMATION WE NEED TO ALMOST HOME WHEN
THE REPRESENTATIVE CALLS! We cannot process applications without
information from your vet.
Veterinarian's Full Address (Stree
Reference - Personal
Please provide the
name, location, and telephone number of someone who knows you well
and is not a personal friend, for example an employer, clergy or
associate in an organization. You may also provide additional
references. Please be sure to include a telephone number for each
Reference Name #1:
Reference #1 Full Address (Stree
Reference #1 Telephone:
Reference Name #2:
Reference #2 Full Address (Stree
Reference #2 Telephone:
The information provided
in this 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.