Miniature Dachshund Breeder Dogs adoption page

Judy Kay's Dachshunds

AKC Puppies For Sale

Dachshund

Please Print, fill out & return

ADOPTION APPLICATION

FOR MY DACHSHUND

Dog Dachshund you are interested in________________________________________________

Are you 21 years or older? Yes/No
Your full name:___________________________________________________

Address: ______________________________________________________

City, State, Zip__________________________________________________

Day PH# _______________Cell#_________________ Hm#______________

3. How long have you lived at above address? _____________________________

4 Are you planning to move in the next 6 months? Yes/No

5 Do you rent/own/live with relatives/live with roommate? Circle one

6 If you rent, does your landlord/roommate allow pets? Yes/No

7 Name and phone # of landlord or relatives, .roommate that you live with: ________________________________________________________________

8 Where will the animal stay when you are not home? Loose inside__________, Crated or otherwise restrained inside_______________, Loose outside _________________

Kennel run _______________, Fenced Yard _____________, Tied/chained outside _________________,(describe)________________________________________

9 If you have a fence, type? Chain link/ Wooden / Barbed wire /

10 If you have a fence, how high is it? 3ft 4 ft 5 ft 6 ft 8 ft

11 Is the pet for your family? Yes/No if not, is it a gift? Yes/No

12 How many people live in the adopting household? ____________________________

Do they all know you are adopting this animal? Yes/No

13 Do you have children? Yes/No If so, what are their ages? _______________________

14 If not, do children visit the home often? Yes/No ages? _________________________

15 Do you own other dogs or cats? Yes/No

16 If yes, please describe breed, sex, and age of each:

BREED SIZE AGE SEX Spayed/neutered

__________________________________________________________________

17 If not altered, why not? _________________________________________________

18 Are they current on yearly vaccinations? Yes/NO

19 Are they currently on heartworm prevention? Yes/No What type? _______________

20 Does your city, subdivision, landlord have any restrictions on the number of pets you can own? Yes/No

If so what is the limit? ___________________________________

21 How many cats or dogs have you owned in the last 7 years?

Dogs _______________ Cats _____________ What happen to them? ________________________________________________________________

22 Your Veterinarian’s name and phone # ____________________________________

Do you give permission for me to contact? Yes/NO Initials ____________________

22 How many hours a day will the animal spend alone? __________________________

Where will it stay when it is alone? _______________________________________

Where will it stay during the day? ________________________________________

Where will it stay at night? _____________________________________________

23 What problems would make you return the animal? Barking / housetraining/ chewing/

jumping/ shyness/ digging/shedding/ other-explain

___________________________________________________________________

24 To help resolve these problems, are you willing to: Use a crate / Take an obedience

Class / Do nothing

25 Check the traits that are most important to you in a pet:

______Good with Children _________Low energy _______ High energy

______ Good with dogs _____ Good with cats _________ Travel well

______ Coat length _______ Won’t need obedience training

______ Doesn’t chew, dig, jump _______ Will run with jogger owner

______ Appearance

26 Under what other possible circumstances would you return the animal:

Move / New Baby / Divorce / High cost of animal care / Personal illness / Other:

Explain __________________________________________________________

27. Are you willing to sign a legally binding Contract that promises that you will return

the animal (dachshund) to Judy K. Burns if at anytime during its life, you find yourself unable to.

Yes/ NO

I represent that the above information I provided on this form is the truth to the best of my knowledge and belief. Any

falsification or omission of any question of any of the above information will result in automatic refusal of

adoption or confiscation of the adopted animal.

Judy K. Burns has the right to deny the adoption of any dachshund pet for any reason. My objective is to assure the safety and

welfare of the pet. I will contact you if the application is approved.

APPLICANT: __________________________________________ DATE ______________

Puppies For Sale

Dachshund