DRUT Adoption Form

We’re excited that your considering adopting a dachshund from the Dachshund Rescue of Utah. The dachshund’s who come to us come from a wide variety of backgrounds, ages and may have special needs to take into account by their new family. There are some dachshunds who come to us as a bonded pair and must be adopted together. You can find out more about the dogs who are available at this time on our blog and social media. Thank you for your interest and for your concern for these rescued pups ready for their forever family.

This application is long, but it is of utmost importance we find the best fit for the rescued dachshunds. They have all been through a lot and we want to ensure a smooth transition for them to their new home.

NOTICE: The Dachshund Rescue of Utah (DRUT) –does not– adopt dogs to homes further than the states surrounding Utah: Idaho, Wyoming, Colorado, New Mexico, Arizona, Nevada, and including California (where our 501 (3)(c) is set up and our sister rescue is operated.

I have read the notice above and understand that the Dachshund Rescue of Utah (DRUT) does not adopt dogs beyond Idaho, Wyoming, Colorado, New Mexico, Arizona, Nevada and California.

• Yes
• No

How did you hear about the Dachshund Rescue of Utah?

Name *

First

Last

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Note: DRUT & DRLA only adopt to surrounding states.

Phone *

Alternate Phone

Email *

Are you interested in (a) specific dog(s) listed on our blog or social media? Which one(s)? *

Have you previously applied to foster or adopt a dog with the Dachshund Rescue of Utah or Los Angeles?

• Yes
• No

What type of home do you have? *

• House
• Condo
• Apartment
• Mobile Home
• Other (Please specify)

Please describe:

Do you rent or own? *

• Own
• Rent

If renting, does your landlord allow pets? *

• Yes
• No
• N/A

If "yes" how many?

Selected Value: 0

Are there stairs in the home? *

• Yes
• No

Does your home have a doggie door? *

• Yes
• No

How many people are living in the home?

Selected Value: 0

Please list the names and ages of everyone living in the home. Your application will not be considered without this information. *

Do you frequently have small children visit your home?

• Yes
• No

Does anyone in the home smoke? *

• Yes
• No

If yes, do you/they smoke indoors or outdoors? *

• Indoors
• Outdoors
• Both
• No smokers in the home

Are all family members in agreement about getting a dog?

• Yes
• No

If no, who opposes getting the dog?

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

Are you willing to teach everyone in your home, and all visitors, the proper care and treatment of dachshunds?

• Yes
• No

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

• In their own bed
• In a closed-off room
• In bed with us
• Wherever they want
• Other

Do you have a fenced in yard?

• Yes
• No

If "yes", what type of fence?

• Block wall
• Chainlink
• Wood
• Other

Do you have a pool at your home? (NOTE: We do not adopt to homes with pools open to the yard. In order to adopt with us the pool must be enclosed by a secure fence. A fenced backyard is not sufficient. The pool --must not-- be accessible by the dog(s).) *

• No
• Yes, but it is enclosed with a secure fence
• Yes, but will put in a secure fence before adopting
• Yes, pool is open to the yard (note: your application will not be considered.)

Do you use a pool service, gardening service or cleaning service? (Select all that apply) *

• Pool Service
• Gardening Service
• Cleaning Service
• None of the above

If you use one or more of the above, what steps do you take to prevent them from letting your pets out? (Type "N/A" if you don't use any of the services.)*

Have you ever had a Dachshund before? *

• Yes
• No

Do you have one now? *

• Yes
• No

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) *

Example: Dachshund, Female, Spayed, 4 years

Are all your pets spayed/neutered? *

• Yes
• No

What brand(s) of dog food do you feed, or have you fed, your pets? *

Name the pets you have had in the recent past and why they are no longer with you: *

Are you familiar with the unique personality of a Dachshund? (if applying for a different breed, describe that breed) *

• Yes
• No

What do you know about the characteristics of the Dachshund breed? *

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

• Yes
• No

Would you adopt a dog that is older (6 yrs. and up)? *

• Yes
• No

Would you adopt a dog that has been abused? *

• Yes
• No

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

• Yes
• No

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

• Yes
• No

Would you adopt a dog that requires regular medication? *

• Yes
• No

Would you adopt a dog that requires house training? *

• Yes
• No

What method will you use to housebreak, or refresh the dog’s house training? *

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

• Yes
• No

(A "bonded pair" of dogs.)

Will the dogs be kept inside the home or outside when you are home? *

• Inside
• Outside

Where will the dogs be kept when you are away from home or at work?

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

Selected Value: 0

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

Do you have a veterinarian? *

• Yes
• No

Veterinarian's Name and Phone #: *

Are your pets all updated on their shots and vaccinations?

• Yes
• No

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

• Yes
• No

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

• Yes
• No

Reference #1: Name *

First

Last

Reference #1: Email *

Reference #1: Phone Number *

Reference #2: Name *

First

Last

Reference #2: Email *

Reference #2: Phone Number *

If the situation does not work out with your family and the dog(s), do you agree to return the dog(s) to the Dachshund Rescue of Utah without question? And you will bring the dog back to DRUT --in Utah-- (if you are in a nearby state)? *

• Yes
• No

This will allow us to place the dog back with a DRUT foster in Utah. We do not fund raise for travel expenses, just for dog care.

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 Dachshund Rescue of Utah to ensure the dog does not end up in a pound or without a home? *

• Yes
• No

Dachshund *

• Male
• Female
• No preference

Are you interested in a bonded pair of dachshunds? *

• Yes
• No

Please indicate your preference on Coat Color: Black & Tan, Red, Dapple or Other *

Enter coat color and use "1" for your first choice, "2" for your second and "3" for your third. If you would not accept a dog of that type, put "0".

Please indicate your preference on Coat Type: long hair, short hair, wired hair *

Enter coat type and use "1" for your first choice, "2" for your second and "3" for your third. If you would not accept a dog of that type, put "0".

Please indicate your preference on size: miniature, tweenie, standard *

Enter dachshund size and use "1" for your first choice, "2" for your second and "3" for your third.

Have you made plans for your dachshund should they outlive you to assure they will not end up in a kill shelter? *

Please describe.

If the dog were to have some unexpected major medical issue or accident, what would you do? How much is the maximum you would be able to spend on a vet bill? Are you planning to buy pet insurance? *

By signing below, I acknowledge that I'm willing to pay an adoption fee for each dog adopted from the Dachshund Rescue of Utah: puppies to 9 years: $375-$1000 (purebred fees vary, please inquire). 10 years $350, bonded pairs $600+ (purbred fees may vary), 13+ years $250. All fees and deposits are NON-REFUNDABLE. *

• Yes
• No

(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.)

Signature

Clear Signature

Please sign your name here.

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