Adoption Application Online

Please fill out each part of the adoption application online. Use the submit button at the bottom to turn in your information and we will get back to you once references are checked. If you miss required questions, it will not go through. If completed correctly, you will end on “Your Application Was Received” page to confirm.

Text or call Kelli (941) 204-1039 with questions or problems. Thank you!

Adoption Application

Adoption Application - submit online

Name*
First Last
Date*
Date Format: MM slash DD slash YYYY

Today's Date
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Best contact number
Email*
Why do you want to adopt a dachshund?*
Is there a particular Dachshund(s) you are interested in adopting?
Leave blank if you're unsure
Please list the names, ages, and relationship to you of each resident of your household, including yourself.*
Please tell us about any other pets residing in your home. Please include species, breed, sex and age.
Are you using Heart Worm and Flea prevention on your current pets?*
- Yes
- No
- Unable due to allergies
- N/A - No Pets in Home
Are each of these animals spayed or neutered? If not, why?*
Tell us about previous pets and what happened to them?*
Have you ever surrendered a dog? If so, what were the circumstances?*
Have you ever bred a dog?
How many hours will the Dachshund be alone each day?*
How will you handle your Dachshund's need for eliminations when you aren't there?*
Who will care for the Dachshund, and where will the Dachshund be kept during the day, when alone and at night?*
You live in a:*
- House
- Condo/Apartment
- Military Housing
- Other
Other location
Do you own or rent?*
If renting
- I have written permission from the landlord to have a dog
- I will obtain written permission from landlord
Landlords name and phone number (if applicable)
Does your home have stairs?*
- Yes
- No
Will the Dachshund have access to the stairs?
- Yes
- No
Does your home have a yard or a patio?*
- Yes
- No
Is it securely fenced?
- Yes
- No
Does your home have a dog door?
- Yes
- No
Will the Dachshund have 24/7 yard access?*
- Yes
- No
- As Needed
Do you have a pool or spa in the yard?
- Yes
- No
Is it securely fenced?
- Yes
- No
Do you have a lot of visitors?
- Yes
- No
Do children under 8 frequently visit?*
- Yes
- No
Please tell us about any experience you have had with Dachshunds. What do you know about the breed?*
Are you aware that Dachshunds can be predisposed to obesity and to having back problems?*
- Yes
- No
Are you aware that Dachshunds can have ongoing house training problems?*
- Yes
- No
Will you take your Dachshund to a vet for an annual physical exam and for vaccinations every year?*
- Yes
- No
Will you return your Dachshund ONLY to LRDRFL if he/she can no longer be a member of your family?*
- Yes
- No
Will you teach everyone in your home and all visitors the proper care and treatment of a Dachshund?*
- Yes
- No
If your first-choice Dachshund is not available, what are your preferences for:
Color Coat Sex Size Age
Would you consider adopting a dachshund who . . .
Is part of a bonded pair?
- Yes
- No
Requires further house training?
- Yes
- No
Has a physical disability?
- Yes
- No
Requires behavior modifications?
- Yes
- No
Requires ongoing medications?
- Yes
- No
Isn't good with other dogs?
- Yes
- No
Isn't good with children?
- Yes
- No
Isn't good with cats?
- Yes
- No
Some rescue Dachshunds have problems with separation anxiety, fearfulness, or dominant behavior. Would you be willing to retrain a dog, following a recommended behavioral remediation program?
- Yes
- No
Are you aware that Dachshunds are not the best choice for families with young children ( under 5 years)?
- Yes
- No
What type of Flea prevention will you use?
What type of Heart worm prevention will you use?
Will you feed your Dachshund premium-quality dog food, following our recommendations if needed?
- Yes
- No
Who will care for your Dachshund if something happens to you?
Is there anything else we should know?
Please supply the names and contact information for 2 pet references we can call.
Name A*
First & Last Name
Contact Info*
Phone # and or Email
Name B*
First & Last Name
Contact Info*
Phone # and or Email
Veterinarian and / or Clinic Name
Phone Number
Print Your Name*
By typing my name, I signify my agreement that all of the above information is true and my understanding that filling out this application does not guarantee I will be approved for adopting a dachschund through LRDRFL.

Color	Coat	Sex	Size	Age