I certify that I am at least 21 years of age.
I agree to a home visit by a DRNC representative.
I give permission to have my references checked, including the Veterinarian I listed in this form.
I agree to pay an adoption fee for each dog adopted. I understand the adoption fees range from $100 to $400 per dog adopted. I understand that non payment of the adoption fee in any form for any dog adopted constitutes a breach of contract and the dog will be returned to DRNC or a DRNC designated representative.
I agree to give the adopted dog at least two weeks to adjust to being in a new home. It is very important that everyone in the home be allowed this adjustment period.
By typing my name below to sign this form and clicking SUBMIT, I agree and certify that all the information provided in this application (in it's entirety) is true and correct as of the date of submission. I understand that my application may be denied if false information is given or if it is discovered that information has been ommitted whether on purpose or by accident.
I agree that submission of this form will constitute a legal document once submitted. I understand that submission of this form does not guarantee I will be approved to adopt a dog from Dachshund Rescue of Northern California.