AJM Dachshund Pet Adoption Application
All questions must be answered.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please provide the name of the puppy you are interested in or a description.
Do you own or rent your home? If you rent you will need to provide proof of your landlord's approval.
Own
Rent
Do you have children in your home? If yes please provide their ages.
Is everyone in the home in agreement to purchase a puppy and will contribute to the puppy's care?
Yes
No
Do you have time to provide adequate care, exercise and attention to a puppy?
Yes
No
Do you own other pets? If yes please provide how many and what species.
Are these other pets up to date on vaccinations?
Yes
No
Are these other pets spayed or neutered?
Yes
No
Where will the puppy spend the day?
Where will the puppy spend the night?
How many hours of the day will the puppy spend alone?
When the puppy is outside, how will it be supervised?
How will you exercise your puppy?
When you go on vacation or away from home overnight, who will care for the puppy? Please be specific.
Have you ever surrendered a pet? If yes, please explain.
Have you ever euthanized a pet? If yes, please explain.
Have you ever owned a Dachshund? Please explain your experience.
Please provide your Veterinarian's name.
First Name
Last Name
Please provide your Veterinarian's address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide your Veterinarian's phone number.
Please enter a valid phone number.
Format: (000) 000-0000.
Upon approval you understand and agree to the following: (Check each box)
You will be required to pay a non-refundable deposit to hold a specific puppy for you. Please read about the Non-Refundable Deposit policy on the home page of this website.
If you do not pick up your puppy on the agreed upon date, your deposit will be forfeited and the puppy will be placed back on the market for sale.
How did you hear about AJM Dachshunds?
AJM Dachshunds.com
AJM Dachshunds Facebook Page
Referral
Facebook Group
Breeders.net
Other
By clicking the "Submit" button below you agree you have answered all questions to be best of your knowledge. You also agree to receive correspondence from AJM Dachshunds across various media application. You may opt out at any time by sending an email to ajmdachshunds@gmail.com.
PLEASE TYPE "i AGREE".
Submit
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