Adoption Application
Almost Home Dachshund Rescue Society
Full Name
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Home phone (with area code)
Your answer
Work phone (optional)
Your answer
Cell phone (optional)
Your answer
E-mail
* You must enter an e-mail address to submit this application.
Your answer
AHDRS rep/Foster name
If you are working with an AHDRS member or know the name of the member that is fostering the dog you are interested in, please provide the member's name, otherwise type "None." Please note: if you are applying for a particular foster dog on our available page, the name of the foster is at the bottom of their listing.
Your answer
Member's E-mail
If you are working with an AHDRS member or know the e-mail address of the member that is fostering the dog you are interested in, please provide the member's e-mail address.
Your answer
Name of Dog
If you are applying to adopt a specific dog, please enter the name of the dog here.
Your answer
How did you hear about AHDRS?
Your answer
Are you working with another rescue or shelter at this time?
Your answer
Preferences
Preferred Color:
Preferred Coat:
Preferred Size:
Gender:
Preferred Age Range:
Your answer
If you indicated preferences, please explain. Are you flexible? Do you have a second choice?
Your answer
Are you willing to adopt a dachshund mix?
Are you willing to adopt a Dachshund that has been abused and therefore may be anxious or may take a while to warm up to you?
Are you willing to adopt a Dachshund that is not reliable with children?
Are you willing to adopt a Dachshund that has a physical deformity or handicap?
Are you willing to adopt a Dachshund that requires ongoing medication other than heartworm preventive?
Are you willing to adopt a Dachshund that is not completely housebroken?
Are you willing to adopt a pair of dachshunds that cannot be separated?
Your Pets
Do you currently own any other pets?
If yes, please provide name, species, breed and age of each:
Your answer
If you own dogs, how would you describe their personalities? Dominant, submissive, playful, aloof, etc.:
Your answer
If you own cats, have they been exposed to dogs? How do they react?
Your answer
Have ALL of the animals listed above (if any) been spayed or neutered?
If no, what are the circumstances?
Your answer
If you have previously owned dogs, what happened to those no longer living with you?:
Please provide a complete answer (e.g. if a dog died, what was the cause of death and age of the dog?)
Your answer
You And Your Family
Please list the name, age and relationship of all people residing with you:
Your answer
How often, on average, do other people visit your home?
Your answer
Explain briefly how you will introduce visitors to your dachshund.
Your answer
How have you taught your children (or how would you teach visiting children) to interact with a dog?
Your answer
Who will be the primary caregiver for for the dog?
Who will care for the dog when the primary caregiver is away--at work or on vacation?
Your answer
How many hours will the dog be left at home alone during the day? Where will the dog be kept during those hours?
Your answer
Type of residence:
Own or Rent:
Is your yard completely fenced?
If so, how high is the fence?
Your answer
If renting, is landlord agreeable to you having a rescued dachshund?
If renting, please provide the name, address and phone number of your landlord:
Please provide Name, Street Address, City, State, Zip Code & Telephone Number
Your answer
Is your a home smoking or non-smoking home?
Living with a Dachshund
What would you say are the best dachshund characteristics? The worst?
Your answer
What routine medical treatments/preventives do you consider necessary for a dog?
Your answer
About how much would you expect to spend annually on medical care for a healthy dog?
Your answer
Please describe what you know or assume about the special needs of rescue dachshunds:
Your answer
What is your opinion of obedience training? Have you ever done it with one of your dogs?
Your answer
Where will the dog sleep?
Your answer
What do you intend to feed your dog?
Your answer
References - Veterinarian
Please 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 name:
Your answer
Veterinarian's Full Address (Stree Address/City/StateZip):
Your answer
Veterinarian's Telephone:
Your answer
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, neighbor or associate in an organization. You may also provide additional references. Please be sure to include a telephone number for each reference.
Personal Reference Name #1:
Your answer
Reference #1 Full Address (Stree Address/City/StateZip):
Your answer
Reference #1 Telephone:
Your answer
Personal Reference Name #2:
Your answer
Reference #2 Full Address (Stree Address/City/StateZip):
Your answer
Reference #2 Telephone:
Your answer
Comments?
Your answer
Signature
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.
Enter your name here to "sign":
Signature (Your Name Here):
Your answer
Date:
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