Adoption Application Form

Thank you for taking the time to fill out this Adoption Application. Once we have reviewed the information provided, we will contact you.
Please note:

• Please review our criteria for adoption carefully. We have very specific and strict requirements due to the result of issues that directly affect rescued Dachshunds

• A secure Fenced Yard is required. Must be constructed of solid wood or chain link material, and must have no gaps under the fence or gate areas which would allow for escape. Electronic fencing is not an acceptable alternative

• Apartment living is not allowed- must have or rent a house with a fenced yard

• Adopters must be over 21, no exceptions

• We will only allow adoptions to non-smoking homes

• Rescued Dachshunds are needier than other breeds of dogs and will do best in a family with a stay at home parent (retired/work from home) and only older children (over the age of 10) who understand the special needs of Dachshunds. We adopt our rescued dogs only to potential adopters who stay at home, work part time or are retired. If you work full time and are not at home during the day we are unable to allow an adoption.

You will be required to sign a contract, agreeing that if for any reason the rescue dachshund does not work out, it is to be returned to us. We retain the right to reclaim any pet which is kept under conditions constituting violation of our contract and agreement. If you sell or relinquish this dog to anyone else, you could be prosecuted for violation of the adoption agreement. We do not offer cash refunds of any kind for any reason. We may offer an exchange for another pet if you choose.

The dog's character, temperament, health, and physical condition represented by Oregon Dachshund Rescue, Inc. is in good faith. The new owner(s) will agree to release, hold harmless and forever discharge the Oregon Dachshund Rescue, Inc. from any and all claims arising from adoption of any of our rescue Dachshunds.
Please email any questions to jrangan@comcast.net .

Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail*

Phone Number*

Area CodePhone Number

Name of dog you are interested in:

Please indicate the sex of the dog you are looking for:*

MaleFemale

Are you willing to pay an adoption fee of $495 and up+ (certain dogs are more such as puppies ) for each dog you receive from Oregon Dachshund Rescue, Inc.? (This fee helps defray medical expenses incurred while the Doxie was in foster care, and/or for the next dog that needs medical attention. There is no profit made on any money received for adoption fees.)*

YesNo

Which type of home do you have?*

Do you own or rent?*

OwnRent

If renting, does your landlord allow pets?

YesNo

If yes, how many?

Are there stairs in the home?*

YesNo

How many people, besides yourself live in the home?*

Please list other occupants and their ages.*

Are all family members in agreement about getting a dog?*

YesNo

Where will the dog(s) sleep at night?*

Do you have a fenced-in yard?*

YesNo

Do you currently have any other pets?*

YesNo

Please list pets you now have in your home. Be sure to include the following information on each of your current pets: Type/Breed, Sex, Spayed/Neutered, Age, Owned Since (age). *

Are all of your pets spayed or neutered?

YesNo

Have you ever had a Dachshund before?*

YesNo

Are you familiar with the characteristics of the Dachshund breed?*

YesNo

Do you currently own a Dachshund?*

YesNo

Are you aware that purebred Dachshunds are not the best choice for families with very young children?*

YesNo

What do you know about Dachshunds?*

What method will you use to housebreak or refresh the dog’s housebreaking skills?*

Rescue Dachshunds vary greatly in temperament, personality, and activity level. What characteristics would you find undesirable in a rescued Dachshund?*

Would you adopt a dog that is older (6 years and older)?*

YesNo

Would you adopt a dog that has a history of abuse?*

YesNo

Would you adopt a dog that is not reliable with children?*

YesNo

Would you adopt a dog that has a physical handicap?*

YesNo

Would you adopt a dog that requires regular medication?*

YesNo

Would you adopt a dog that requires house training?*

YesNo

Could you consider adopting a pair of Dachshunds in the case of dogs that should not be separated and need to be placed together?*

YesNo

Where will the dog(s) be kept when you are away from home or work?

How many hours each day will the dog be left alone?*

How many hours each day do you work?*

How long is your commute?*

While you are home, the dog(s) will be kept:*

InsideOutdoors

Do you currently have a veterinarian?*

YesNo

Current Vet's name:

Will you take your pet for regular vet visits for shots and any other medical needs?*

YesNo

How much is the maximum you would be able to spend on a vet bill of this kind? *

If the dog were to have some unexpected and horrible health issue or accident, ie; being hit by a car what would you do? *

Are you planning to buy pet insurance?*

YesNo

Reference 1*

First NameLast Name

Reference 1 Phone Number*

Area CodePhone Number

Reference 2*

First NameLast Name

Reference 2 Phone Number*

Area CodePhone Number

Are you willing to allow a home check prior to adopting a Dachshund?*

YesNo

If the situation does not work out with your family and the dog do you agree to return the dog to Oregon Dachshund Rescue, Inc. without question?*

YesNo

If at any time in the future, you or your family are no longer able to care for the dog, do you agree to return the dog to Oregon Dachshund Rescue, Inc. to ensure the dog does not end up in a pound or without a home?*

YesNo

Briefly explain the main reason why you want to adopt a Dachshund:*

Please note:

We will only allow adoptions to non-smoking homes
Adopters must be over 21, no exceptions.

You will be required to sign a contract, agreeing that if for any reason the rescue dachshund does not work out, it is to be returned to us. We retain the right to reclaim any pet which is kept under conditions constituting violation of our contract and agreement. If you sell or relinquish this dog to anyone else, you could be prosecuted for violation of the adoption agreement. We do not offer cash refunds of any kind for any reason. We will offer an exchange for another pet if you choose.

The dog's character, temperament, health, and physical condition represented by ODR is in good faith. The new owner(s) will agree to release, hold harmless and forever discharge the ODL from any and all claims arising from adoption of any of our rescue Dachshunds.

Please email any questions to jrangan@comcast.net.

Thank you for taking the time to fill out this questionnaire. Once we have reviewed the information provided, we will contact you.

Oregon Dachshund Rescue, Inc. Adoption Questionnaire

Your Contact Info

Housing

Behavior

Your Preferences

Your Time

Vet Info

References

Final Questions