MyGaDachs Puppy Application

Puppy Application

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Phone Number*

Area CodePhone 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?*

Are you a breeder or looking for breeding rights?*

YesNo

Coat Type Preference - I only breed LONGHAIRED Dachshunds*

I ONLY breed longhaired Dachshunds so if you check smooth, I will refer you to another breeder

Coat Pattern Preference*

1st Color Preference*

1st Gender Preference*

2nd Color Preference*

2nd Gender Preference*

Do you have your eye on a particular breeding pair, waiting list or special puppy? If so please describe.*

Is this your first dog?*

Is this your first time raising a puppy?*

Do you have other pets in the home?*

Please list species breed and age of other pets:

Do you already have a HomeAgain or other microchip account?

Do you already have a veterinarian?

If yes, who?

Type of housing*

Do you:*

Do you have a fenced in yard?

If other, please explain:

Does your landlord allow pets?

Is any head of household currently serving our country in the US Military?*

How many adults in your home?*

How many minor children in your home?*

How many children are under the age of five (5) years old?

Are all adults in the home in agreement to purchase a puppy?*

Does anyone in the home have allergies to dogs?*

Where will the puppy spend most of its time?*

Do you believe in spanking a pet for being naughty?*

Will your puppy be an inside or outside dog?*

How many hours will the puppy usually be left alone each day?*

Is this puppy being purchased as a surprise or gift for anyone?*

Are you aware of the dangers of Parvovirus?*

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?*

Have you or any one in the puppy’s future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?*

Will you be able to pick up the puppy in the Augusta, Ga surrounding area?*

Do you agree to give us follow-up reports and photos from time to time?*

Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?*

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?*

Your Signature*

Name

First NameLast Name