Adopt

Adoption Application

SEE ADOPTABLE DOGS

Thank you for wanting to adopt a rescued dachshund from the Rocky Mountain Dachshund Rescue! We are a non profit 501(c)(3) based out of Salt Lake City, Utah. We do our very best to match dachshunds with the best possible family for them, for a happy future for you both, together!

Rescued dachshunds need patience and understanding. They come from many different backgrounds and situations. Want to learn more about dachshunds? Check out the Rocky Mountain Dachshund Rescue’s Doxie University for more about this charming and loyal dog breed. If you have any questions please contact us!

Our goal is to do what is in the dog’s best interest and to match them with the family that will be the best fit for them.

Adoption Fees

These fees are requested once the adoption has been finalized and you sign the adoption contract. We accept Venmo, Paypal, Money Order, Cashiers Check and Cash.

Puppies thru 7 y/o – $ 400.00
Adult Dog 7 thru 11 y/o – $ 250.00
Senior Dog 12+ – $ 150.00
Bonded Pair Puppies thru 7 y/o – $ 600.00
Bonded Pair 7+ – $ 400.00
Special Needs* – $ 100.00

Name *

First

Last

Email *

Mobile Phone *

Alternate Phone

Date of Birth *

Place of Employment *

Which dog(s) are you interested in. *

Your Residence Type *

• House
• Apartment
• Condo
• Other

A fenced yard gives rescued doxies a place to explore, and go potty. A dog door lets them go outside to go potty when they need to.

Do you Own, Rent or Lease your home? *

• Own
• Rent
• Lease

Our rescued dachshunds need a home without shared walls. As hunting dogs, they were bred to bark. (If you live in a condo or apartment, we will consider an older or senior dachshund who may be a better fit for city life.) ❤️ We very much appreciate you wanting to help them!

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Home Check (Video) *

• Yes
• No

You understand that you are required to submit a video of your home (inside) and yard, and anywhere the dog will have access. This is part of the adoption process with RMDR. NOTE: If you aren’t able to upload your videos here, please contact us and we can give you another option (801) 432-0785.

Upload Videos (Inside Home & Outside Backyard)

Click or drag a file to this area to upload.

Please upload your videos. Note: Things we look for – include a baby gate at the stairs, fenced yard with no holes or garbage piles, no fire-arms laying around, wall plates, covers on appliances–very similar to baby proofing a home. We love to see where their safe place will be (bed), ramps to furniture, just that they will be part of the family. If you need assistance getting your videos to us, please call us at (801) 432-0785‬.

How many years have you lived at your current residence? *

If you're not the property owner we will need to talk to your landlord to verify their pet policy. *

Please enter your landlord’s name and phone number

Number of Adults in Home *

Number of Children in Home *

Please include their ages.

Does anyone in your house have allergies? *

Who will be the primary caregiver for the dog *

Other Pets *

Type of pet(s) (and how many)

Vaccination & License Status *

• Yes
• No

Are your current pets up to date with their vaccinations and are they licensed?

Past Dogs *

Please list past dogs and where/what happened with them. If they died in an accident please share what happened (this will not disqualify you).

How many hours a day will the dog be alone? *

We understand work schedules can run long. If you are able to give the dog the run of the house, access to water and have a dog door–that is optimal. But we also understand some dogs are crated. For -very- long days you may consider a dog walker or someone to let the dog out to improve their quality of life on these days.

If you were to give up this dog for any reason, do you agree to return them to us? *

The rescued dachshund, that you want to give a forever home, is a Rocky Mountain Dachshund Rescue dog. That means if you are unable to keep them you will contact us and give the dog back.

Where will the dog kept when no one is home? *

Where will the dog sleep? *

Please describe the noise and activity level in your home *

Do you have a fenced yard? *

Please list how tall the fence is, and the type of fence. Are there any holes in the fence? Is the yard free of debris?

Do you have a vet? *

• Yes
• No

Vet Name *

If “No” please enter N/A. We contact the vet about past dog care and vaccination history.

Vet Phone # *

(###) ###-#### If you do not have a vet enter all “0’s”

Does everybody in your home agree about adopting this dog? *

• Yes
• No

Will your family including children be educated about dachshunds and caring for them? *

What will you do if the dog isn't 100% Potty Trained? Do you need ideas for helping with this? *

Do you understand that the dachshund breed was bred to bark as hunting dogs? *

• Yes
• No

What will you do if the dog barks too much? And would you like ideas to help with training them? *

What will you do if the dachshund has back trouble? *

How will you work with your dog if they dig in the garden? Would you contact us for help? *

Note: Dachshunds were bred to track prey that live in burrows, badgers, wolverine (when hunting in packs), rabbit for example. Digging is something they enjoy.

If behavioral issues arise what will you do? Would you contact your vet for help? *

When you travel where will the dog be? *

• With Pet Sitter
• They will go with me
• Boarding

Do you agree not to leave the dog home alone when you travel? *

• Yes
• No

Do you agree that this dog will not be used for fighting, medical testing? Do you agree to keep your dachshund out of harms way? *

• Yes
• No

Do you agree to love and protect this dog? *

• Yes
• No

Do you promise to continue the standard of core vaccinations going forward? *

• Yes
• No

Core vaccinations being: Rabies and DAPP

If no, please explain.

Was this recommended by your vet? (Please note our policy is as follows: Standard of care: all dogs/cats in adopters care must be up to date with core vaccinations: Rabies and DAPP. Adopters promise to continue this standard of vaccination care throughout the dog’s lifetime.)

Are the other cats and dogs in your home up to date on vaccinations? *

• Yes
• No

Please note our policy is as follows: Each potential adopter must provide proof of up to date vaccinations for each residential pet.

If no please explain.

Was this recommended by the dog’s vet?

Do you understand dachshunds are stubborn? *

• Yes
• No

Do you understand dachshunds may need you to be patient with them? Regularly? *

• Yes
• No

Do you have a swimming pool? *

• Yes
• No

How will you keep the dachshund away from the pool? Is there a fence?

Does your home have stairs? *

• Yes
• No

If your home has stairs a baby gate is recommended to help the dog avoid back injuries. A ramp to couches/bed or carrying them is recommended.

Does anyone living in the home smoke? *

• Yes
• No

The AKC, FDA and VCA agree that cigarette smoke can affect dogs. The dogs around tobacco smoking have a greater risk for health problems.

Do they smoke inside or outside?

• Inside
• Outside

AKC – Are Dogs Who Live With Smokers At Risk of Getting Cancer? By Stanley Coren, PhD Apr 13, 2017
FDA – Secondhand (and Third-Hand) Smoke May Be Making Your Pet Sick
VCA – The Effects of Secondhand Smoke on Pets By Ryan Llera, BSc, DVM; Lynn Buzhardt, DVM

Have you ever been cited by animal control or the police for an animal related issue? *

How did you hear about us? *

Reference 1 – NAME *

Please use at least one reference that is not related to you.

Reference 1 Phone # *

Reference 1 Email *

Best time to reach Reference 1? *

• Morning
• Afternoon
• Evening
• Weekends

Reference 2 – Name *

If using a family member as a reference, please use one that does not live at your address.

Reference 2 Phone # *

Reference 2 Email *

Best time to reach Reference 2? *

• Morning
• Afternoon
• Evening
• Weekends

Hold Harmless *

• I understand and agree that Rocky Mountain Dachshund Rescue makes no express or implied warranty, representation or promise to the age, health, breed, habits, disposition or safety of the animal. I hereby accept the animal as is, assume all risks and responsibilities associated with the ownership of the Animal, including bites, and I hereby fully and completely release, indemnify and hold harmless Rocky Mountain Dachshund Rescue, its directors, officers, volunteers, servants, and employees from any claim, cause of action or liability of any sort or nature, whether known or unknown, directly or indirectly arising out of or in connection with the adoption, care or ownership, maintenance, temperament or condition of the Animal.

Please check this box to indicate you have read and agree.

Return to Rescue *

• I agree in the case I cannot keep the animal, he/she will be returned to Rocky Mountain Dachshund Rescue. All monies deposited with Rocky Mountain Dachshund Rescue with be considered a donation to the rescue and are non-refundable.

Please check this box to indicate you have read and agree.

Truthful Answers *

• I acknowledge falsification of the above can result in my being denied adoption of an animal or if animal has been adopted to me, the return of that animal to Rocky Mountain Dachshund Rescue.

Please check this box to indicate you have read and agree.

Certify Application *

• I certify that the above information is true and correct to the best of my knowledge.

Please check this box to indicate you have read and agree.

Digital Signature *

First

Last

Please enter your first and last name to sign that you agree with the four (4) statements above.

Signature *

Clear Signature

Please sign here to indicate that you agree with the four (4) statements above.

Submit

Dachshund Adoption Application