Puppy Application
Thank you for your interest in our puppies. We would appreciate you answering the following questions. There is no right or wrong answer, it only helps us determine if our puppy is the right fit for your family. All information you provide to us confidential. This form will act as a legal binding document
Name & Phone number
*
First & Last Name
Phone number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
1. Do you rent or own your home?
Rent
Own
2. If you rent, can you provide proof that your landlord will allow pets?
Yes
No
3. Will the puppy be an inside dog?
Yes
No
4. Who will be the primary caregiver?
5. What breed are you interested in?
6. Where will the puppy be kept at night?
7. Where will the puppy be kept during the day?
8. Is anyone home during the day?
Yes
No
9. How many hours on average will the puppy be left alone?
1-2 hours
3-5 hours
6-8 hours
8+ hours
10. Do you own any other pets?
yes
no
11. Do you have any children?
Yes
no
If yes, what ages?
12. If you would have a child during this time of your life would you feel the need to find your puppy a new home?
yes
no
If yes, why?
13. Does anyone in the household have allergies?
yes
no
If yes, how severe and to what?
14. Are you in the military?
yes
no
If yes, who will take care of your puppy if you deploy?
15. What gender are you interested in?
Male
Female
No preference
16. What color are you interested in?
17. Will you want your puppy shipped or local pick up?
Air shipped
Ground shipped
Local pick up
18. Have you ever returned a pet to a breeder before?
Yes
No
If yes, why?
19. Have you ever given a pet away?
yes
no
If yes, why?
20. Do you agree to keep your dog on high dog food?
yes
no
If yes, what brands do you consider high quality?
21. Do you understand that you may never sell or find a new home for the dog? If the placement does not work for any reason, he/she will come back to Southern Barron Danes & Dachshunds
I understand
I do not understand
23. Do you intend to breed the dog? If yes, answer the next 6 questions.
Yes
No
24. How many other breeding age dogs do you have? Breeds, ages & sexes?
25. How many litters do you have per year?
26. What is your set up for raising puppies?
27. Will the puppies be raised in your home, outside or in a kennel, etc?
28. How many times will your female be bred before she is fixed? Or at what age do you fix your females? What age do you neuter your males?
29. When you retire a male or female dog from breeding, do you keep them or place them in pet homes?
30. What made you fall in love with this breed?
31. Name and address of the veterinary practice you currently use or plan to use.
32. Do you understand that the deposit is non-refundable if you choose to back out? Only time the deposit will be refundable is if something were to happen to the pup while in my care.
yes
no
33. What size shirt do you wear?
Submit
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