Puppy Application

About You

Full Name*

Email Address*

Phone Number*

City, State*

Your Home & Family

Do you own or rent your home?*

Own

Rent

Do you have a fenced yard?*

Yes - fully fenced

Yes - partially fenced

No

Tell us about the people in your household*

Your Experience with Pets

Do you currently have other pets?*

Yes

No

Have you owned this breed before?*

Your Plans for Your Puppy

What are your plans for training?*

What are you looking for in a puppy?*

How did you hear about us?

Any plans on breeding?

Certification as therapy dog?

Service Dog?

How many hours a day will the dog be crated?

Have you or anyone in the puppy's future household ever been arrested, charged or convicted for animal cruelty or animal hoarding?

Will you be able to pickup your puppy in Prophetstown or let us know if you need transportation

Poodles require professional grooming every 6-8 weeks, and it can cost $100+ each time. Lack of grooming can cause serious skin problems. Are you committed to this necessary expanse?

Do you agree to give us followup reports and photos from time to time?

Do you agree to contact us in the case that you need to re home this puppy for whatever reason?

By Signing this form you understand that deposits are non refundable. Only exception is if we don't have your gender of choice in a litter.