Form

Please fill in all of the following:
Do you have previous experience with this breed?
If yes to question above, please give specifics here:
Number of children in your home, list ages (This breed is not good with children under age 7.)
Number of other pets in home, list please
Do you have a fenced yard? (We do site visits to confirm this.) Please email photos of your home and yard when asked too. Thanks.
How many hours away from home each day? If you work during the day where will your dog reside while you are gone? Have any buddies?
Can you care for a sick dog or a previously abused one?
Why would you be the best home for this dog? More specific the better please.
Which dog were you interested in adopting and why? Will you accept another one if they are better suited for your family?
Why do you want a Dachshund?
How did you hear about this web site and our rescue please?
If this dog becomes a problem how will you handle this adoption?
I am well aware of the breed or read our site = won't stay housebroke, can be active, noisy, chase all prey including cats being hunting dogs, but that they are also funny & intelligent?
Do you own or rent? How many animals allowed if you rent?
What would happen to this dog if you can't keep them?
I have read DRNW To Adopt page before filling in this form so I am aware of the adoption process. Thanks!
We do not share your information. We do need to get in touch if we have a dog available.
Daytime phone:
Nightime phone:
First Name
Last Name
E-mail
Address
City
State
Zip
Should be Empty:

Please fill in all of the following:

We do not share your information. We do need to get in touch if we have a dog available.