Puppy Application

If you are interested in one of Desi's Mini Dachshunds, please fill out this simple application. Copy and paste this form into an email, fill out and send to mrsbdesi@aol.com Please contact Karen at (951)288-5909 if you have any questions or experience any problems.

First Name: *

Last Name: *

Address Line 1: *

Address Line 2:

City, State, ZIP: *

Email Address: *

Phone Number: *

Name, address and phone# of your vet: *

Do you live in a house or apartment?: *

House

Apartment

Other

Do you have other pets and what breeds?: *

Yes

No

Are you a dog breeder?: *

Yes

No

Do you plan on breeding your pet at any time?: *

Yes

No

Will someone be with your pet at ALL times if not how do you plan to care for it while your away ?: *

Yes

No

Will your pet sleep in bed with you or in his/her own crate?: *

Bed

Crate

Other

Will your pet live indoors?: *

All of the time

Most of the time

Some of the time

Never

Do you have a fenced-in back yard?: *

Yes

No

Will you feed your pet table scraps?: *

Yes

Never

Occasionally

Select all that you are able to provide for your puppy:: *

Food

Water

Vet Visits

Love

Have you researched the dachshund breed and general puppy care?: *

Yes

No

Please select one of the following:: *

I plan to have my pet spayed or neutered.

I do NOT plan to have my pet spayed or neutered.

What is your color preference?:

Black/Tan Red Cream

What is your pattern preference?:

Piebald Brindle Dapple

What is your physical size preference?:

What is your gender preference (sex)?: *

Male

Female

No preference

What coat type do you prefer?

Smooth (short) Long

Comments::