Birch Hill Puppy Application and Wait List

Please answer each question clearly and with as much information as possible. 
Thank You!

Full Name

Phone

Address

Address Line 2

City

State/Province

ZIP/Postal Code

Are there children in the house? Ages?

Have you ever owned a dachshund?

What animals do you currently own? (Ages, sex, spayed/neutered)

Where will your new puppy be housed? Are you prepared for crate training?

Veterinarian Referral

Please tell us what you are looking for in a dachshund.

Gender Preference

Size Preference

Coat Preference

Do you have a pattern preference?

YesNo

If YES, please indicate pattern preference - e.g. Solid, Brindle, Dapple, Piebald

Do you have a color preference?

YesNo

If YES, indicate color preference - e.g. Red, Black & Tan, other

From time to time we may have an adult dog available for sale. Would you be interested in an adult dog?

YesNo

Birch Hill Doxies has a very large extended family. The Birch Hill Doxie Family has a private Facebook page where updates on your Birchie as he grows is encouraged, you can meet up with other Birchie owners and also get/give support from other Birchie owners. Would you be interested in participating?

YesNo

How did you hear about Birch Hill Doxies?

Questions or Comments - (please use the comments section below to provide further details.

Today's Date

BIRCH HILL DOXIES PUPPY APPLICATION & WAIT LIST

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