top of page
Home
Breeder Info
Program Males
Program Females
Available Puppies
Future Pairings
Contact
Forms
waitlist
application
Puppy (retired adult) application
Phone or Text (479) 806-5455
Email
charisma.dachshunds@gmail.com
Puppy (retired adult) Application
First name
*
Last name
*
Email
*
Phone
*
How did you hear about us?
*
Friends
Social Media
Good dog
Are applying for a puppy or retired adult?
*
Puppy
Retired adult
Have you ever owned a dachshund previously?
*
Yes
No
No but I have researched the breed characteristics
do you agree to keep the breeder updated with photos a couple of times a year & if you move update breeder of new address puppy will be staying?
*
I agree
Do you agree to return the dog\puppy to the breeder, at your expense, should you no longer be able to care for them over the course of its lifetime? under no circumstances should this puppy ever be surrendered to a shelter or rescue.
*
I agree
has anyone in the household ever been convicted for animal cruelty?
*
Yes
No
If your pet will be home alone longer than 5 hours do you agree to have a pen for them to be able to come out of their kennel?
*
I agree
Do you have children under 5 inside the home?
*
yes
no
Have you spoke with your significant other about adding a puppy to your family and are you in agreement to do so at this time?
*
Yes
No
Do you have a fenced in yard?
*
yes
no
I have other options for exercise listed below
Where your pet will get adequate exercise if you do not have a fenced yard.
Do you own or rent your home? IF renting do you have permission to have a pet inside the home?
*
Own
Rent & have permission to have a pet
Rent but I do not have permission for a pet
Are you interested in a puppy as a loving companion or breeding purposes?
*
Companion pet only
AKC breeding rights
If you are requesting breeding rights please tell us about your program here with a link to view your program.
Do you have a veterinarian refrence?
*
Yes
No
Veterinarian Business name
Veterinarian Address
Veterinarian Phone
Signature
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date picker
Apply Now
bottom of page