Puppy Application
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Phone Number
*
-
Area Code
Phone Number
MyGaDachs breeds for quality NOT quantity. We are not selling low-budget puppies. We are breeding top quality AKC Dachshunds. Keeping this in mind we would like to know your price range for a new puppy?
*
$4000+ (I care most about quality)
Are you a breeder or looking for breeding rights?
*
Yes
No
Coat Type Preference - I only breed LONGHAIRED Dachshunds
*
Smooth
Longhaired
I ONLY breed longhaired Dachshunds so if you check smooth, I will refer you to another breeder
Coat Pattern Preference
*
Dapple
Solid Color No Pattern
1st Color Preference
*
Please Select
Red
Black
Chocolate
No Preference
1st Gender Preference
*
Please Select
Male
Female
2nd Color Preference
*
Please Select
Red
Black
Chocolate
No Preference
2nd Gender Preference
*
Please Select
Male
Female
Do you have your eye on a particular breeding pair, waiting list or special puppy? If so please describe.
*
Is this your first dog?
*
Please Select
Yes
No
First time as an adult
Is this your first time raising a puppy?
*
Please Select
Yes
No
No, but it's been a while!
Do you have other pets in the home?
*
Please Select
Yes
No
Please list species breed and age of other pets:
Do you already have a HomeAgain or other microchip account?
Please Select
Yes, active
Yes, expired
No
Do you already have a veterinarian?
Please Select
Yes
No
I need a recommendation
If yes, who?
Type of housing
*
Please Select
Apartment
Condo
Single Family Residence
Other
Do you:
*
Please Select
Own this home
Rent this home
Rent-to-Own
Other: Staying with family
Do you have a fenced in yard?
Yes
No
Coming soon
If other, please explain:
Does your landlord allow pets?
Please Select
Yes
No
Not sure
I'm sure we can work something out
Is any head of household currently serving our country in the US Military?
*
Please Select
Yes
No
How many adults in your home?
*
Please Select
1
2
3 or more
How many minor children in your home?
*
Please Select
0
1
2
3 or more
How many children are under the age of five (5) years old?
Please Select
All
None
1
2
3 or more
Are all adults in the home in agreement to purchase a puppy?
*
Please Select
Yes, we can't wait!
We're getting there ;)
No, but I take full responsibility for a puppy in our household
Does anyone in the home have allergies to dogs?
*
Please Select
Yes, but only mild to moderate
No, not that we know of
Where will the puppy spend most of its time?
*
Do you believe in spanking a pet for being naughty?
*
Yes
No
Only in certain cirmstances
Will your puppy be an inside or outside dog?
*
Please Select
Mostly indoors
Mostly outdoors
Both
How many hours will the puppy usually be left alone each day?
*
Please Select
Less than 4
4 to 6 hours
6 to 9 hours
9 to 12 hours
More than 12 hours
Is this puppy being purchased as a surprise or gift for anyone?
*
Please Select
No
Yes
Are you aware of the dangers of Parvovirus?
*
Yes
No
Are you willing to keep your puppy indoors, and away from public places, until after the series of shots between 16-18 weeks of age in order to help protect your puppy from Parvo?
*
Yes
No
Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?
*
Please Select
No way
Yes, but it was a minor conviction and progress has been made
Yes
Will you be able to pick up the puppy in the Augusta, Ga surrounding area?
*
Please Select
Yes, I live within 100 miles of Augusta
Yes, I live within 250 miles of Augusta
Yes, I live out of state, but I will arrive to pick up
No, I will need to make arrangements to meet
Do you agree to give us follow-up reports and photos from time to time?
*
Please Select
Sure
No
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?
*
Please Select
Yes
No
Please provide any other relevant information you feel would assist us in placing a puppy in your home:
Do you participate in any AKC events? Conformation, Agility, Scent Work, etc? Please explain
Do you have any other questions for us you’d like us to note?
How did you hear about us?
*
Family or Friend
Website/Search Engine
Facebook
YouTube
Instagram
Other
Your Signature
*
Name
First Name
Last Name
Send my application!
Should be Empty: