Author: Thomas Mangham
Last saved by: HP

Puppy/Adult Dog Adoption Application
Mangham’s Doxies
5630 Shreveport Blanchard Hwy.
318-344-3716

**This is an application not for purchasing/adopting a puppy, but for you to be CONSIDERED to purchase/adopt one.**

 Name(s):______________________________________________________________________
Address:______________________________________________________________________
Phone Number(s)
Hm. (____)_____-__________
Cells.(____)_____-___________     (____)_____-___________
What type of dachshund are you looking to purchase? (longhair, smooth coat, color, male, female) _______________________________________________________________________
How long have you been looking _________? and how long are you willing to wait__________?
What are your current living arrangements (i.e. apartment, rent house, house you own, live with family/friends) _____________________________________________________________
If apartment, is the apartment complex pet friendly?____________________________
Have you checked into the rules and regulations of owning a dog at your apartment complex?________ Please provide the name and a phone number for you landlord? ______________________________________________________________________________
Do you have a fenced yard? ________     Fence type (chain link, wooden)________________
How long have you lived at your current location?______  Are you planning to relocate within the next year?______
Do you plan to keep this puppy/dog inside or outside?  ________________________________
If inside, approximately how many hours per day will this dog spend outdoors?  ___________
Are you planning on using a crate/kennel for housetraining? ___________________
Where will this puppy/dog spend its time when nobody is at home (i.e. crate, kitchen, bathroom, laundry room?) ________________________________________________________
How many children (include ages with each child) are currently living in your house?________
(age)______
(age)______
(age)______
(age)______
(age)______
Do you currently have a vet? _____ 
Name and phone number of your vet (if applicable) ____________________________________ 
(_______)_________-____________
What other animals live in your house? (list with age)__________________________________
______________________________________________________________________________
If you have any other pets, what type of heartworm and flea/tick prevention do you use? __________________________________________

Are you planning on spaying or neutering this puppy between the ages of 6-10 mos. old or are you planning to breed this puppy/dog when it is older? _______________________________
Approximately how many hours are you away from home a day? _________________
What will you do with this puppy/dog when you go on vacation or have to be out of town?
Please tell me why you have chosen to purchase a dachshund?

Have you had any previous experience with dachshunds and ivdd? (back problems) __________
What did you do medically for the animal and what was the outcome? 

What are your plans for socializing this puppy?

Please tell me anything else about you and your family/home life that you feel has not been covered in this puppy application?