Pet Adoption Application Form

Perspective Puppy Parent

First NameLast Name

Email Address

example@example.com

Phone Number

Format: (000) 000-0000.

Name of puppy you are interested in

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Do you own any pets?

Pet Name(s)

Pet Breed(s)

Pet's disposition and behavior towards other dogs?

Veterinarian Name

First NameLast Name

Veterinarian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Do you own or rent your home?

Please provide your landlord's information here:

Do you have a yard?

Is it fenced? please describe

What is your landlord's pet policy?

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?

Are there children in the home? (If yes, please list ages) If yes, do you agree to teaching them the proper way to handle a dachshund?

How many hours per day would the pet be alone?

Will you crate your pet?

If you have to leave town, emergently or planned, where would your pet stay?

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?

Do you have experience with Dachshunds or have you done research on the breed? If so explain what you know about them and their care.

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?

Please provide a detailed description:

Date

Signature of Potential Pet Parent

Puppy Application Form