Surrender Application

Contact Information

General Dog Description

What is the dog's name? *
 
Is the dog a purebred dachshund? *
 
Gender?
 *
Coat type?
 *
What is the dog's size?
 *
 

Dog Behavioral Information

It's very important that we are aware of any and all behavioral issues ahead of time. We select foster families based on the specific needs of each dog.
Is the dog aggressive towards humans? *
Is the dog aggressive towards other animals? *
Does the dog have other aggressive tendencies? *
 
Is the dog potty-trained? *
 
Has the dog ever bitten anyone?
 *
Does the dog have fear-based behavioral issues that we should know about? *
 
Does the dog have other behavioral issues that we should know about? *
 

Vetting Information

It's very important that we are aware of any and all health-related issues ahead of time. We select foster families based on the specific needs of each dog. And we also select certain vets based on their specialties.
Is the dog spayed or neutered?
 *
Is the dog current on vaccinations? *
 
Has the dog been tested for Heartworms?
 *
Does the dog have any other outstanding health issues we should know about? *
 
Who is the dog's current vet?
 *
 

Location and Transport

Is the dog in danger of being euthanized?
 *
Where is the dog currently staying?
 *
Is the dog's location the same address you entered above? *
 
If location is outside of the Omaha-Coucil Bluffs area, are you willing to help transport?