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Surrendering a Dachshund
What is a Rescue Dog

Surrendering a Dachshund

If you have a dachshund and are seeking help in finding a new home for it, please fill out the following form:

Please Press the “Tab” Key Between fields:

NOTE: DO NOT leave any fields blank; enter “N/A” if you are unable to provide the information.

IF YOU HAVE ANY QUESTIONS OR PROBLEMS WITH THIS FORM, PLEASE CONTACT THE WEBMASTER AT fldrwebmaster@gmail.com FOR ASSISTANCE.

Surrendering a Dachshund to Florida Dachshund Rescue

Main Email Address*
Alternate Email Address
Name*
FirstLast
Address*
Street AddressAddress Line 2CityStateZip Code
Home Phone*
Please use the (###)###-#### format.
Alternate Phone
What is the name of the dachshund?*
Dachshund’s age?*
What sex is the dachshund?*
Dachshund’s size (mini, tweenie, standard)?*
Dachshund’s weight?*
Dachshund’s color (red, black, dapple, etc.)?*
Dachshund’s coat (smooth, longhair or wirehair)?*
Reason you must re-home your dachshund.*
Is the dachshund up to date on vaccinations?*
- Yes
- No
Can you provide us with vet records?*
- Yes
- No
Are there any medical concerns with the dachshund?*
Is the dachshund spayed or neutered?*
- Yes
- No
Has the dachshund ever bitten anyone?*
- Yes
- No
Please Explain
Does the dachshund like other dogs?*
- Yes
- No
- Not Sure
Does the dachshund like cats?*
- Yes
- No
- Not Sure
Does the dachshund like children?*
- Yes
- No
- Not Sure
Is the dachshund on heartworm preventative?*
- Yes
- No
Is the dachshund on flea preventative?*
- Yes
- No
Is the dachshund house trained?*
- Yes
- No
Anything else you think we need to know about the dachshund?*
Please upload a picture of your dachshund.*

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© 2010 Florida Dachshund Rescue Inc.- a 501(c)3 non-profit organization

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