Please visit the Fees page for Adoption Fees.Please copy and Paste tp your email and sent to [email protected] are 3 pages to fill in.
This form is set for delivery to the adoption committee and will be forwarded to the representative in your area or to the foster representative of the dog you are inquiring about. DRoM gets an enormous amount of inquiries and will respond to your submittal in as soon as possible. If you have any specific questions you may email: [email protected] - Thank you DRoM
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It is important to answer all questions. Answers left blank may jeopardize your ability to adopt from us. Use your tab key to jump to the next question. You must be at least 21 years of age to fill out this form.
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If you are applying to adopt a specific dog, please enter the name of the dog you are interested in here.______________________________________
What is the email address of the representative that has this dog listed?
___________________________________________________________
If you are currently working with another DRoM member, please provide their name.
Name: ________________________________
The DRoM member's E-Mail address: (if known) _________________________
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*Your E-Mail: ________________________________
Your Name: _______________________________
Today's Date: ________________________________
Address: _________________________________
City: _______________________________
State ____ Zip Code _____________
Home Phone: ______________________
Work Phone ________________Extension: _________
You must be willing to accept collect Calls from us
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Name, age and relationship of those residing with you.
Do you often have other people visiting your home?
Yes___ No___
Grandchildren?
Yes___ No ___
Other children?
Yes ___ No ___
Is everyone in the residence and family agreeable to adopting a dachshund?
Yes __ No___
Have your children (if applicable) been exposed to dachshunds?
Yes___ No___ Not applicable___
Are you willing to teach everyone in your home, and all visitors, the proper care and treatment of a dachshund?
Yes ___ No ___
Are you willing to teach young children the proper care and treatment of a dachshund?
Yes___ No___
Are you willing to always monitor young children with the dachshund?
Yes___ No___
Even a dachshund that has proven reliable with young children?
Yes___ No___
Are you willing to:
Read books about dachshunds, and discuss the dachshund breed with your veterinarian, animal behaviorists, and other professionals in order to better understand the dachshund breed and their special characteristics?
Yes ___ No ___
Take the dog to a veterinarian at least once a year for a physical exam, shots, and heartworm check?
Yes___ No__
Take the dog to a veterinarian when ill?
Yes__ No ___
Welcome the dog into your family as a permanent member?
Yes___ No ___
Return the dog ONLY to Dachshund Rescue of Maine if you decide that he/she cannot be a member of you family?
Yes __ No__
Maintain heartworm preventative medications throughout the dog's life?
Yes__ No__
Do everything within your power, and with the help of your veterinarian, and/or other professionals to ensure that the dog has a long, healthy life?
Yes__ No___
Have you given careful consideration to all of the following:
Financial obligations of responsible pet ownership?
Yes__ No__
Special needs and time and patience involved with rescue dachshunds?
Yes__ No__
Who will care for the dog, and where will the dog be kept?
Have you ever owned a dog?
Yes__ No__
Have you ever owned a DACHSHUND?
Yes___ No___
Why do you want to adopt a rescued dachshund at this time?
Do you currently own any other pets?
Yes__ No__
If yes, then please provide name, species, breed and age of each:
Have ALL of the animals listed above (if any) been spayed or neutered?
Yes __ No __