Adoption Application "*" indicates required fields Adopter DetailsName* First Name Last Name Age*Age Group*Select Age Group18 - 2425 - 3031 - 4041 - 5051 - 6061 - 6566 - 7172 - 80Over 80Address* Suburb StateSelectAustralian Capital TerritoryNew South WalesVictoriaQueenslandWestern AustraliaNorthern TerritorySouth AustraliaTasmaniaAddress* PostCode Phone*Email* Enter Email Confirm Email Adopter PreferencesWhich dachshund(s) are you interested in adopting?*Select a DogFrankston, 7yrs, Cairns QLDChilli - 1and a half Years - SydneyFrank- 2 years- Coffs HarbourMaggie,12yrs 11mths, Syd NSW.Frankie - 9 years - Brisbane QldBeau Hulu, Melb VIC.Have you owned a dachshund before?* Yes No If you haven’t owned a dachshund before, why do you think a dachshund is suitable for your lifestyle?* Are you willing to adopt a dachshund that is not house trained or has been abused and may take a while to warm to you and will certainly require your commitment to rehabilitation?* Yes No As well as budgeting appropriately for annual costs such as food, vet bills, pet insurance, possible training and other consumables, are you aware that IVDD surgery can cost in excess of $10,000?* Yes No Type of residence*Select Type of residenceHouseTownhouseApartmentRetirement VillageAcreage / FarmDo you rent or own?* Rent Own If rent, do you have written permission from your landlord to have a pet? Yes No Where would your dachshund live? House, backyard, run or other?* Do you have other pets?* Yes No Yes, Have a pets* Dachshund Dog Cat Other Age & Sex of your pet(s)* Are they desexed? Yes No Do you have children or do children/grandchildren visit your home? Yes No If yes, how old are the children / grandchildren?* Do you work full time, part time or retired?* Full Time Part Time Retired How many hours a day will the dachshund be home alone?* Please tell us about anyone else living in the home: Who lives in your household? Are they all aware and in agreement of you completing this application? Yes No When you are not at home, would your dachshund be confined to the house, have a doggie door or be left in the garden?* Where do you expect your dachshund will sleep at night?* What fencing do you have at your home?* Would you object to us visiting your home prior to adoption?* Yes No What is the longest time the dachshund will be alone without human company? Please provide any further details below which may aid your application*I understand that DRA charges an adoption fee I Agree These fees go towards veterinary care that some dachshunds require when they are surrendered, and this enables DRA to continue their work caring for dachshunds in need. If you have further questions regarding your application, please email the allocated rescue co-ordinator directly. Please do not ask for discounts, delayed payments or payment plans.Signed:If you are unsuccessful with this application, DRA can keep you details on file and contact you should a suitable dachshund become available.Would you be interested in any future dachshunds that become available? Yes No What type of dachshund are you interested in? Standard Mini Smooth Longhaired Wirehaired Any Would you be interested in adopting a pair of dachshunds? Yes No Would you be interested in adopting a dachshunds with behaviour challenges? Yes No Forms are only kept on our database for 3 months. Please advise us if your situation changes and you no longer want a dachshund and we will remove your details from our database.
