Judy Kay's Dachshunds

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AKC Puppies For Sale

Dachshund

 

Dogs and Puppies For Sale  Please Print, fill out & return

 

ADOPTION APPLICATION

FOR MY DACHSHUND

     
 

Dog Dachshund you are interested in_________________________________________

  1.Are you 21 years or older? Yes/No

  2. 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 Veterinarianís 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 _______ Wonít need obedience training

______ Doesnít 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 ______________

 

 

 

 

 

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