Adoption Application

Fields marked with an * are required

Section 1: Your Information


Section 2: Your Household

If you have children or frequent visitors to your home, please answer the following questions.


Section 3: Your Home

If renting, be advised you must provide written documentation to DARE from your landlord confirming you are authorized to house and maintain pets on the property (i.e. letter from landlord, pet addendum, or proof of pet deposits)


Section 4: Your Adoption Preferences

Please indicate your desired preferences to assist us in our search for a compatible pet companion by checking all applicable boxes.

Are you willing to adopt a dachshund that...


Section 5: Your Pet History

If yes, please list species/breed, gender, whether they are neutered or spayed, if the pet is kept primarily inside or outside, and how long you have owned them.


Section 6: Your Veterinarian


Section 7: Your References

Please provide 3 references (2 are permissable) if a veterinarian reference was listed above). Please list the person's name, contact information (email, telephone number or address), how long they've known you, and their relationship to you.


Section 8: Certification

By signing below, I certify that I am at least 21 years of age and will assume full responsibility for the care and wellbeing of any dog that I adopt through DARE.

I further agree to be bound upon adoption to:

  1. take my adopted dog to the veterinarian at least once a year for a physical exam, shots and heartworm check.
  2. take my pet to the veterinarian in a timely manner when ill.
  3. maintain heartworm preventative medications and flea/tick treatments throughout the dog's life and
  4. return my adopted dog to DARE and only DARE should circumstances change and I can no longer care for my adopted dog in a humane manner.

If filing electronically, your written name below will constitute your electronic submission signature.

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