Dachshund Rescue - UK Adoption Form

Fields marked * are required

First Name *

Last Name *

Spouse / Partner Name (If Applicable)

Address *

Town/City *

County *

Postcode *

Email *

Phone Number *

Your Age *

About your home*

Do you own your home?*

Home Type*

Secured garden?*

Location of home*

Livestock Close By*

If Livestock Live Close By, Provide Details *

Do you have facilities to adequately exercise a dachshund (fields, parks, beaches or common land)?*

Other Facilities

Are there children living or regularly visiting your home? *

About Your Family *

About Your Work *

Do you work from home? *

What is the maximum time your dog would be left alone? *

How Often Would Your Dog Be Left Alone? *

If regularly left alone, do you have a dog sitter/walker? *

Please Give Details of Any Other Pets You Own *

Have you owned dogs before? *

Have you owned dachshunds before? *

Thinking of the dachshund you would like to adopt, please select below all you would consider?*

Smooth Haired

Long Haired

Wire Haired

Miniature

Standard

Dog

Bitch

A Pair of Dogs

An Elderly Dog

A Disabled Dog

Are you able to collect the dachshund? *

Additional Information:

We will keep your details to match rescue dogs with a potential new home. We will keep them on file for 12 months, you can of course contact us and unsubscribe at any time. Please check the box to confirm you agree to your details being stored and used in this way.

I Agree to my details being kept for this purpose *