Please dont hesitate to call if you have any questions: 402-991-9397

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Me and my Family
If you were referred by a rescue member, please enter member name:

Name:                                                             

E-mail:

Address:

City:                                                        State:                                             Zip:                          

Home Phone:

Work Phone:

Best Time to call:

Please Note: We must know your state to process the application and you must be 21 years old to complete an application.

Number in household?

Children?                    

If Yes, what ages?

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Preferences

Please check any preferences on sex.
Please note: The average age of a rescue is between 2 - 7 years of age and all rescues will be spayed/neutered before adoption. Dachshunds frequenty live 16 - 18 years. If you prefer a younger Dachshund, your wait may be slightly longer. We rarely have puppies.

Preferred Gender:                

Are you willing to accept a dog with special medical needs?

Are you willing to accept a dog with a history of neglect/abuse who needs extra love and attention?

Are you willing to accept a dog with behavior problems who requires special training?

Would you consider a Dachshund mix?

How long are you willing to wait for a Dachshund?

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Why A Dachshund

Have you previously owned a Dachshund?

What do you like about the breed?

What other breeds have you considered?

Please describe what you feel are the characteristics of the ideal Dachshund for you and your family.

The Dachshund is a high maintenance dog, and while you may love the breed you may discover that you do not have the time or the resources to devote to its upkeep. But if you do, the Dachshund will more than repay you with a lifetime of loyalty.

Are you prepared to deal with the cost of both routine veterinarian care (worming, annual shots) and non-routine/emergency veterinary care, especially as the dog gets older?

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Your Home
Please describe your current residence

Is your yard, or a portion of your yard, securely fenced?


If you have a pool, is it fenced?


If you have a dog run, is it secure?

If you do not own your home have a fence or dog run please describe how you plan to exercise your Dachshund and allow it to relieve itself:

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References
Please provide three names as references, your first MUST BE your veterinarian.  You must include your landlord (if you rent your home) as a 4th reference. Other references could include a neighbor or anyone who owns a Dachshund, such as a friend, relative or co-worker who has knowledge of you with your dogs past or present. All 3 references may not be relatives. Your application will NOT be considered if you do not complete this section.
Name, Phone number, best time to call and relationship to applicant:

1) Name:

Phone #:

Relationship: VETERINARIAN

Best time to call:


2) Name:

Phone #:

Relationship:

Best time to call:


3) Name:

Phone #:

Relationship:

Best time to call:


4) If Renting - Landlord Name:

Phone #:

Best time to call:

___________________________________________

Care and Responsibility

Approximately how many hours a day will your new Dachshund be alone?


How long will the Dachshund be left outside?


Where will your Dachshund be when left alone?


Where will your Dachshund sleep at night?


Who will have primary responsibility for the care of your Dachshund?


Do you travel frequently?                    

If yes, who will take care of your Dachshund?


Have you asked yourself whether your lifestyle is so busy you might not have the time or energy to properly care for a Dachshund?

Are you willing to take your Dachshund, and restrict your choice of housing to places where pets are allowed?


Does everyone in the family want a Dachshund?


Does anyone in the household have any known allergies to animals?


What is your definition of disciplining a Dachshund?

What will you do if your spouse, children or pets can't get along with the Dachshund?

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History of Pet Ownership
What animals currently live in the household? (Please list type of animal, sex, age and how long you have owned them, and are they inside or outside animals)

 

Please list any dog you have owned in the past, name, breed, how long owned, explain what happened to it, including the age it died or left you.

 

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All of the information I have provided is true and complete to the best of my knowledge.
Should a Dachshund be placed with me, it will reside in my home as a pet.
I agree to provide the dog with adequate food, water, shelter, affection, and medical care.

Signature of Applicant:

Date of Application:

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