Colorado Dachshund Rescue

* Dog's name

* Full Name

* Email

* Address, City, State, Zip

* Home Phone

* Work Phone

* Name, Age, Relationship Please list the name, age, and relationship of those residing with you

1: Do you often have other people visiting your home?

2: Grandchildren?

2: No Other children?

2.1: Have the children been exposed to dachshunds?

* 2.2: How will you teach children and/or visitors the proper care and treatment of a dachshund? None

* 2.3: How will you monitor young children around your new dachshund? None

1: Is everyone in the residence and family agreeable to adopting a dachshund?

* 2: Who will be primarily responsible for the care of the dachshund?

3: Does anyone in residence have Animal Allergies?

3: Asthma?

1: Take the dog to a veterinarian at least once a year for a physical exam, shots, and heartworm check?

2: Take the dog to a veterinarian when ill?

3: Return the dog ONLY to Colorado Dachshund Rescue if you decide that he/she cannot be a member of your family?

4: Maintain heartworm preventative medications throughout the dog’s life?

1: Are you familiar with the necessary shots (annual) as well as heartworm testing and preventative?

2: Are you familiar with flea/tick treatment and prevention?

3: Did you know that dachshunds are susceptible to back injuries?

4: Are you aware that treatment may require surgery at a cost of $1,500 or more?

* 1: Sometimes rescue Dachshunds require special needs or understanding. Please list some special needs you think a rescue may require?

2: Have you ever owned a dog?

3: Have you ever owned a DACHSHUND?

* 4: Why do you want to adopt a rescued dachshund at this time?

5: Do you currently own any pets?

* 5: Name, Species, Breed, Age If yes, please list name, species, breed and age here.

1: Are all pets neutered or spayed?

* 1: If no, please explain? None

2: Have you bred your dog/cat to have puppies/kittens?

* 3: If you have previously owned pets, what happened to those no longer living with you?

4: Are you familiar with the unique personality of a dachshund?

* 5: Please list some characteristics that you know of that the dachshund breed exhibits.

6: Would you be willing to take the dog for obedience training if needed?

7: Are you aware that purebred dachshunds are susceptible to weight gain, and house training problems?

8: Are you aware that purebred dachshunds are not the best choice for families with very young children?

1: Older?

2: Abused?

3: Not reliable with children?

4: Physically handicapped?

5: Requires ongoing medication other than heartworm preventative?

6: Requires continued house training?

7: Would you consider adopting a pair of dachshunds in the case of dogs that should not be separated and need to be placed together?

8: Type of residence?

9: If you rent, is the landlord agreeable to pets on the premises?

1: Do you have a yard?

* 1: If yes Approximate size? None

2: Is your yard completely fenced?

* 2: If yes, type/height? None

* 2: If no, what type of exercise program will you set up for your dachshund? None

1: Do you feel it is acceptable to allow your dogs to roam freely?

2: Are there stairs in your residence?

* 3: Where will the dog be kept during the day? & Night?

* 4: How many hours a day will the dog be left at home alone?

* 5: Where will the dog sleep?

* 1: If you work, who will take care of the dog while you are away?

2: Do you have options of who will watch your dog if you go on vacation?

* 3: What do you intend to feed the dachshund (brand, wet/dry, etc)?

* 4: Dachshunds are sometimes difficult to housebreak. If needed, how will you housebreak your dog?

1:Dachshund Color

2: Dachshund Coat

3: Dachshund Size

4: Preferred Gender

5: Preferred Dachshund age range

* 1: Name and address of Landlord None

* 2: Name, Address, Phone number of Veterinarian None

* 3: Personal Reference Name, Address, Phone number, Email None

* 4: Personal Reference Name, Address, Phone number, Email None

* 5: Personal Reference Name, Address, Phone number, Email None