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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. DO NOT leave any fields blank. Enter “N/A” if you do not wish to provide information.

YOU WILL GET AN EMAIL WHEN THIS FORM IS SUBMITTED. IF YOU DON’T, OR 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 AddressCityStateZip 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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