Great Southern Groodles Puppy Application
.
Personal Information
Have you contacted Vicky at Great Southern Groodles before completing this puppy application? (Vicky- 0428029009). Please only continue if you are genuinely applying for a puppy from us. If your circumstances change, please let us know.
*
Yes
Deposit
Please note that a $250 deposit is required to join our waiting list. This fee will be deducted from the price of your puppy. A Great Southern Groodle will be offered to you within 12 months of this application being received. A full refund will be given in the event a puppy is not available within this time frame. This is a newly implemented system to ensure we spend time getting to know those families who are serious about bringing home a puppy from us. We are unable to accommodate colour preferences. Health, genetics, temperament and personality are considered the most vital traits, before aesthetics.
Full Legal Name
*
First Name
Middle Name
Last Name
Spouse/ Significant other's Name
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Phone Number
*
-
Area Code
Phone Number
Spouse's Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
Employment
Occupation
*
Name of Employer
*
Employer Address
*
Street Address
Street Address Line 2
City
State
Postal
Employer Phone Number
*
-
Area Code
Phone Number
How long have you worked at this Employer
*
How many hours do you work per day
*
How many hours do you work per week
*
Do you travel for work
*
Please Select
Yes
No
Occasionally
If You Travel for Work, Please Explain Frequency, Duration and Arrangements to Care for Your Dog.
Household
Full Legal Name, Age and Gender of Other Adult (Over 18) Residents of the Home and Indicate if Residency is Temporary or Permanent
*
How Many Children Live in the Home? Please List Names and Ages
*
Do you have an active or quiet Household? Please Describe Your Typical Daily Activities
*
Are There Regular Visitors to your Home (Human and/or Animal) with whom your Dog Must Get Along? If Yes, Please Describe.
*
Are All Family Members and/or Residents in Agreement about Purchasing a Groodle Puppy?
*
Who Will Be the Primary Caretaker of the Dog?
*
Living Arrangement
Do you Rent or Own your home
*
Please Select
Rent
Own
If Renting, Do You Have the Permission of your Landlord in Writing to Keep a Large Dog?
*
Please Select
Yes
No
Non Applicable
If You Rent You Will Need to Submit a Copy of Your Lease/Bylaws Stating that there are No Restrictions Regarding Owning a Dog, Weight Limitations or Breed Specific Restrictions.
Type of Residence (Single Family Home, Townhouse, Villa, Condo, Apartment, etc)
*
How long have you been living at this residence?
*
Do You Have a Garden? If So, is it a Private Garden or Community? Please Provide the Size of the Yard (Square Footage, Dimensions, Acreage, etc), Type of Yard Enclosure (Chain Link, Wood, Aluminum, Fully Enclosed, Partially Enclosed, etc) and Height of Enclosure.
*
Is Anyone Home During the Day?
*
How Many Hours Will the Puppy Spend Alone During the Day?
*
Current/Past Pets and Experience
List All Pets Currently Owned and/or Living in the Home. Include Pet's Name, Type, Breed, Age, Gender, Whether Spayed/Neutered, How Long You Have Had the Pet and Where the Pet was Purchased or Obtained.
*
For Each Pet Listed Above, Please Describe in Detail His or Her Personality.
*
What Do You Feed Your Pets? Please Include Brand and Formula.
*
List All Previously Owned Pets During the Last 15 Years. Include Pet's Name, Type, Breed, Age, Gender, Whether Spayed/Neutered, How Long You Had the Pet, Where the Pet was Purchased or Obtained and What Happened to the Pet.
*
Have You Ever Surrendered a Pet to a Shelter or Rescue Organization?
*
Please Select
Yes
No
Have You Ever Given Away a Pet?
*
Please Select
Yes
No
Have You Ever Sold a Pet?
*
Please Select
Yes
No
If You Answered Yes to Any of the Questions Above, Please Provide Details Below.
What Type of Training Have You Done in the Past with Dogs?
*
Do You Currently Have a Dog Trainer You Are Working With?
*
Please Select
Yes
No
If So, Please Provide Nature of Training
Name of Training Facility
Name of Trainer
First Name
Last Name
Phone Number of Trainer
-
Area Code
Phone Number
Have You Titled a Dog in Any Sport or Activity? If So, Please Provide Details
*
Have You Owned a Groodle Before?
*
Please Select
Yes
No
Have You Ever Interacted with a Groodle?
*
Please Select
Yes
No
Groodle Puppy
What Are Your Reasons for Wanting a Groodle Puppy?
*
What Research Have You Done on the Groodle Breed (Internet Search, Read Books, Spoken to Breeders etc)?
*
Are You Interested in a Breeding any dog now or in the future?
*
Please Select
Pet
Show
Breeding
What Is Your Gender Preference?
*
Please Select
No Preference
Male
Female
What Is Your Color Preference? Color Preference Will Only be Considered Secondary to Temperament Compatibility.
*
Please Select
No Preference
Cream
Gold
Coffee
Parti
Black
Describe Your Groodle's Ideal Temperament
*
What Are Your Plans for Your Groodle with Regard to Training?
What Is Your Time Frame for Bringing Home Your Groodle?
Are You Planning on attending Puppy Socialisation Classes?
Please Select
Yes
No
Do You Plan to Neuter or Spay Your Groodle?
Please Select
Yes
No
Unsure
Are You Aware of the Cost of Caring for a Groodle? Are You Financially Able to Spend $2,000-$3,000 per Year for ROUTINE Health Care, Supplies, Grooming and High Quality Food? Are You Able to Pay for Emergency Care?
Please Select
Yes
No
When Your Groodle is Home Alone or Sleeping, Where Will He or She Spend its Time? Loose Indoors, in a Crate, in a Yard, Doggie Day Care, etc?
Please Provide Additional Personal Information, Preferences or Details That Would be Helpful in Matching the Right Groodle to Your Family.
REFERENCES
Personal Reference 1
Name
First Name
Last Name
Relationship
Address
Street Address
Street Address Line 2
City
State
Postal
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Veterinary
Veterinarian's Name
First Name
Last Name
Clinic/Hospital Name
*
Address
Street Address
Street Address Line 2
City
State
Postal code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
By Clicking on Submit Below...
I CERTIFY THAT THE INFORMATION PROVIDED IS TRUE. I UNDERSTAND THAT IF ANY INFORMATION IS FOUND TO BE FALSE OR INCOMPLETE, MY APPLICATION WILL BE DENIED WITHOUT NOTIFICATION. I UNDERSTAND THAT GREAT SOUTHERN GROODLES WILL CONTACT ME VIA PHONE OR EMAIL WITHIN 14 DAYS, SALE OF A REQUESTED PUPPY IS NOT GUARANTEED. WE RESERVE THE RIGHT, IN OUR SOLE DISCRETION, TO REFUSE ANY APPLICANT FOR ANY REASON WHATSOEVER. YES, I HAVE READ THE DISCLAIMER AND AGREE TO THESE TERMS AND CONDITIONS.
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform