Mr. Jim's Doodle Application

Application for a Mr. Jim's Doodle

Australian Labradoodles Donated to Military Veterans
PERSONAL INFORMATION
Full Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
State of Origin *
Home Address *
Phone Number *

Area Code Phone Number
E-mail *
Are you married? *
Who lives with you in your home? *
Are you Employed, if so, where? *
MILITARY SERVICE INFORMATION
Number of years in the Military *
Military Branch *
Position and Rank Held *
Did you serve in an active combat zone, if so where? *
Awards, Metals or Honors Received *
DOG INTEREST INFORMATION
Do you currently own a dog? *
Why are you applying for a Mr. Jim's Doodle? *
What are you hoping to get from owning a Mr. Jim's Doodle? *
Do you know what is involved in caring for an Australian Labradoodle? *
Would you consider working with a trainer or taking your Doodle to puppy classes? *
Would you be willing to offer NoodleDoodles updates and pictures of your Doodle? *
As part of accepting a Mr. Jim's Doodle, you will be contractually obligated to have he/she spayed or neutered within the 1st 24 months of life. Will you have the means to do this? *
REFERENCE

Someone outside of your immediate family
Name *
Relationship to you, rank or position Held *
Phone Number *
Address *
Should be Empty:

Application for a Mr. Jim's Doodle