Alberta Dachshund Rescue
Adoption application
mail to
Box 60 Lousana, AB.
T0M1K0

e-mail to info@albertadachshundrescue.com

Today’s date______________________

Name___________________________

Address________________________________________________________

Home telephone___________________

Work telephone___________________

E-mail__________________________

Reference #1: Please provide the name, location, and telephone number of your veterinarian (required for all applicants who own or have owned a companion animal).




Reference #2: Please provide the name, location, and telephone number of someone who knows you well and is not a personal friend—e.g., employer, clergy, associate in an organization, etc.




Reference #3: You may provide additional references. Please be sure to include a telephone number for each.





Are you applying for a specific animal available through Alberta Dachshund Rescue? ________________

Do you have preferences for a certain type of dachshund and or other breed if applicable? If so, please specify:
Color ___________________
Coat ___________________
Size ____________________
Gender__________________
Age range _______________

If you have indicated preferences, please explain them (e.g., why you prefer a male to a female).




If you have indicated preferences, are you flexible? Do you have a second choice?



Are you willing to adopt an animal that…
Has been abused and therefore may be anxious or may take a while to warm up to you? _____Yes_____No
Is not completely housebroken? _____Yes _____No
Is not reliable with children? _____Yes _____No
Has a physical deformity or handicap? _____Yes _____No
Requires ongoing medication for a medical condition? _____Yes _____No

Do you own any pets? If so, please list each pet by name, species, breed, and age.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________

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 the animals listed above been spayed or neutered? _____Yes _____No
If no, what are the circumstances?




Have you ever owned a dog who is no longer living with you? _____Yes _____No
If yes, what happened to the dog? Please provide a complete answer (e.g., if a dog died, what was the cause of death and age of the dog?)




What is your experience with the dachshund breed? How would you describe the personality and temperament of a dachshund?






Do you understand that dachshunds are prone to back troubles? Y__ N__ What do you plan to do to prevent your dachshund from having such troubles?

Please describe what you know or assume about the special needs of rescue animal.








What routine medical treatments/preventives do you consider necessary for a pet?





About how much would you expect to spend annually on medical care for a healthy pet?





Please list the name, age, and relationship of all people living with you.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________





How often, on average, do other people visit your home?



Explain briefly how you will introduce visitors to your new rescue.




How have you taught your children (or how would you teach visiting children) to interact with a pet?




Who will be the primary caregiver for this pet? 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 at home alone during the day? Where will the dog be kept during those hours?




Do you own your home or rent? _____Own _____Rent
If you rent, is your landlord agreeable to your having a new pet? _____Yes _____No
Please provide name and telephone number of landlord:



What is your opinion of obedience training? Have you ever done it with one of your dogs?




Where will the animal sleep?



What do you intend to feed your new pet?



If you are currently working with an Alberta dachshund rescue member please provide name



The information provided in this application is true to the best of my knowledge as of the date of the application.


____________________________________
Signature