S-and-A Kennels Puppy Application
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Are you Employed? Is so Where?
Employment Status?
Full Time
Part Time
Other
Do you Rent Or Own?
Rent
Own
If you Rent , do you have Permission from your Lanlord/owner of property to Own a Mini Dachshund?
Who will be the Primary Care giver Of Said Puppy?
Where will your puppy be Living?
Inside
Outside
Is there a Specific Puppy your Inquiring About? If Not Please Provide a description of what your Looking for.
Have you ever Owned a Dachshund?
Why are you Interested in a Miniature Dachshund?
Are there any other animals On the Premises? If so Please Provide Breeds and Ages.
Please Provide the Name amd address Of the Vetinarian Clinic and Which Dr is used foe your pets.
You do Understand that this is a Legal Bonding Document and that the information you provided should be Truthful to the best of your Knowledge?
Finally, Please Provide a little Information About your family and home, or anything you feel that I as your future puppy's breeder should know.
Signature
Submit
Submit
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