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Apply to Adopt

If you're interested in adopting a dachshund, please complete the following application.  We will be in touch with you
shortly after receiving and processing your application.  Thanks for your interest in adopting a dachshund!
Contact Information
Today's date:
Your full name:
Email:
Primary Adopters Name:
Age of Primary Adopter:
Street address:
City:
State:
Zip:
Phone number:
What are you looking for?
If interested in a dachshund on our site, which one?
Sex:
Other?  Please specify:
Color:
Size:
Hair:
Have you owned a dachshund before?
Are you willing to adopt a dog who may need continuing help with housetraining?
Are you willing to adopt a special needs dog?
A bit about you...
Do you have children?
If yes, what are their ages?
Do you have any other pets?
If yes, please list them here:
What are your living arrangements?
What floor do you live on (if apt or condo)?
If you rent, are pets allowed?
Will the dog have access to a yard?
Is your yard fenced?
Name, address, and phone of veterinarian:
Anything you'd like to add:
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Phoenix, AZ  dachshundsonlyrescue@gmail.com
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Dachshunds Only
Rescue