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Date:
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Name: *
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Address: *
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City: *
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Zip Code: *
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Home Phone number:
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Cell Phone number:
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Email: *
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Have you ever owned a dog?:
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NAME of dog(s) you are interested in adoptiong:
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All pets you have owned in the past 7 years or currently own:
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Type/Breed:
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Age:
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Are they Spayed/Neutered?:
(If not, please explain why)
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Where are they now:
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How many adults are in your home including yourself?
(names / ages / relationship to you):
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How many children are in the home? Ages?:
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If there are no children, will this change in the future?:
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Is every member of the family in agreement to adopting this dog?:
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Is anyone in the household allergic to animals?:
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Do you often have a lot of people visiting your home?:
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Who will be responsible for the feeding, housebreaking and training of this dog?:
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Is someone home during the day? Who?:
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On average, how many hours will the dog be left alone?:
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When you are home, where will the dog be kept?:
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When you are not at home, where will the dog be kept?:
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Do you have a doggie door?:
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Yes
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No
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Plan on installing one
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Where will the pet sleep?:
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Do you allow pets on the furniture?:
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Do you live in a:
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House
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Townhouse
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Condo
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Apartment
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Mobile Home
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Do you:
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If you own please be prepared to show proof
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Own
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Rent
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Please Explain
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Other
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If you rent please list your Landlord's name and Phone number.
(Applications without this will be automatically denied)
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Do you have stairs?:
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Do you have a completely fenced in yard?:
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What type of fencing?:
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What is the height of the fence at the lowest point?:
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Is there any place the dog could escape from of the yard?:
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Do you have a pool?:
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Is the pool completely fenced separately from the back yard?:
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If you suddenly had to relocate or had a change in lifestyle that made it hard to keep your dog,
what would you do with your dog?:
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Have you ever had to give up a pet before?: *
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When?:
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Why?:
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Where did this pet go?:
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Please list all the reasons that this dog would not be a permanent member of your family.
What could this dog do that would make you give them up?:
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Would you allow your pet to ride in the back of a pickup truck?:
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How do you feel about dogs living outside?:
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How do you feel about chaining or tying a dog?:
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How do you feel about crate training your dog?:
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Please tell us in detail how you will deal with the following issues.
Please do not write "training":
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Chewing:
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Barking:
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Digging:
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Housebreaking:
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How do you reprimand your dog for unwanted or bad behavior?:
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Are you willing to adopt a dog that:
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Requires Housebreaking: *
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Has seperation anxiety: *
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Has a fear of strangers: *
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Is older then 7 years of age: *
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Was neglected or abused: *
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Requires medication: *
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Has to be adopted as a pair: *
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If you are applying for a purebred dog, have you researched the health concerns and breed characteristics? Please explain what you have read: *
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What do you intend to feed your dog:
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Please list your veterinarian name and phone number: *
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Is there anything else you would like to add?:
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Thank you for taking the time to fill out the application and for your interest in one of our rescue dogs.
PLEASE BE ADVISED THAT FILLING OUT THIS APPLICATION IS NOT A GUARANTEE OF ADOPTION.
Also, please understand that Dachshund Paws and Pals reviews adoption applications with the sole intent of making the best long-term companion match possible.
Your filling out this application & your interest in one of our rescue dogs is greatly appreciated!
Once you click "Submit" you will be taken to the Home page, Your application has been received and will be reviewed shortly.
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