Application for a Puppy

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Best*

Morning
Afternoon
Evening

Email*

How many years have you lived at this address?*

Number of Adults in Household?*

Number of Children in Household?*

Who will be the Primary Caregiver?*

Is this your first dog?*

Yes
No

Is this your first Poodle?*

Yes
No

Are there other pets in the household? Describe.*

Type of residence.*

House with physical fenced yard
House with underground fence yard
House without fenced yard
Apartment with stairs
Apartment without stairs
Apartment with elevator

Do you have a pool?*

Yes
No

My puppy will be an inside Poodle.*

Yes
No

Will your puppy be crated?*

Yes
No

Hours your puppy will be alone on a typical day?*

Describe how your puppy will be tended when alone.*

What kind of activities will you share with your puppy?*

How many times a day will you walk your Poodle?*

Besides walking how will you exercise your dog?*

I will be training the puppy*

I will enroll puppy in a professional training program.*

My puppy will be a family pet*

Yes
No

I would like my Poodle to become a Therapy or Service*

Agree
Disagree
Undecided

I would like to show my Poodle*

Agree
Disagree
Undecided

I am prepared to handle all veterinary care cost.*

Yes
No

I am aware of the grooming maintenance for a Poodle.*

Yes
No

Do you plan on taking your Poodle to a Professional Groomer?*

Yes
No
Undecided

If No do you plan on grooming or learning to groom your Poodle?*

Yes
No
Undecided

What gender do you prefer?*

Male
Female
No Preference

What is your first choice in color?*

Additional Information - Any Comments?

Where did you find us?*

Email

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Puppy Application

Application for a Puppy