Application – Town-side Dachshunds

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First & Last Name *

Phone *

Email *

What type of home do you live in? *

Do you own your home? *

Are there children in the home? If yes, what ages? *

Do you have any other pets? If yes, tell me more about them. *

Have you had dogs in the past? If yes, tell me more about them. *

Tell me more about yourself (Your lifestyle, family, favorite activities etc.) *

What gender puppy are you looking for? *

Have you ever had a Dachshund? *

What is it that draws you to Dachshunds? *

Is there anything else you would like to share? *