All 4 Dachshunds Adoption Application
ABN 48 446 515 214
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Name of Dachshund you wish to adopt
Name of local Council where Dachshund will be registered
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Are you happy for a rep from All 4 Dachshunds to visit your home as part of the adoption process?
Yes
No
Have you owned a dachshund before?
Yes
No
If you have not owned a dachshund before what is your knowledge of the breed? What do you think their best and worst characteristics and why do you think a dachshund would suit you?
Some dachshunds that are rescued come with "Special Needs" e.g. not housetrained, abused, fearful. Are you willing to provide the necessary support and commitment required for rehabilitation?
Yes
No
Have you adopted rescue animals before?
Yes
No
If you are not successful with your application, would you like to be considered in the future for another suitable dachshund?
Yes
No
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Who lives in your household and what are their ages?
What age group are you?
18 - 25
26 - 35
36 -45
46 - 55
56 - 65
66 - 75
76 & Over
Do you work?
Full Time
Full Time from Home
Part Time
Home Duties
Other
Do you have any other pets? (please include Breed, Male/Female and Age)
Describe your home and yard including fencing/stairs
If you are renting or under body corp, do you have permission to own a pet?
Yes
No
Where would your dachshund predominately reside?
Inside Only
Outside Only
Both
Other
Where would your dachshund sleep at night?
Inside Only
Outside Only
When not at home, where would your dachshund be situated?
House
House with doggie door
Outside in garden
Other
Will your new dachshund be left alone for long periods of time each day? If so how long?
Any other questions or comments
Submit
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