LoElls Standard Poodles Application Form
Apply to become a new puppy owner. Please provide accurate information to help us find the best match for you.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
What type of residence do you live in?
*
House
Apartment
Condo
Other
Do you own or rent your home?
*
Own
Rent
Do you have a fenced yard?
*
Yes
No
How many adults live in your household?
*
How many children live in your household?
*
Do you currently have any pets? If yes, please list them.
*
Have you owned a dog before?
*
Yes
No
Why do you want a puppy?
*
Where will the puppy be kept during the day?
*
Where will the puppy sleep at night?
*
How many hours per day will the puppy be left alone?
*
Are you prepared for the financial responsibility of owning a puppy (food, vet care, grooming, etc.)?
*
Yes
No
Is there anything else you would like us to know?
How did you hear about us?
Which puppy/upcoming litter are you interested in?
Are you aware of the grooming and socialization needs of a Poodle? They need groomed every 4-6 weeks MAX, brushed bi daily!
Yes
No
Do you have experience with Standard Poodles?
Yes
No
Will you be picking your puppy up or needing transport? (We are near Branson, MO)
Picking up
Needing transport
What dog food do you feed?
Do you understand we do NOT allow visitors to our home for the safety of our dogs, home, and family?
Yes
No
Have you thoroughly read through our contract/guarantee and understand all terms of the contract are final once you place money on your puppy? Contract will NOT change. You can find the guarantee on our website.
Yes
No
Do you understand our contract/guarantee does NOT need signed and that you agree to the terms by placing any money on your puppy.
Yes
No
Per our contract, we require our puppies to be returned to us at no financial reimbursement if owners cannot keep for any reason. Are you willing to return your poodle in the event you cannot keep?
Yes
No
Are you aware that issues such as (but not limited to) hip/elbow dysplasia, viral illnesses, hernias, parasites, and physical injury are NOT covered in our guarantee? We guarantee against life threatening genetic based issues only.
Yes
No
Do you understand if you are buying your puppy as pet only, there is a strict spay/neuter contract?
Yes
No
Do you understand our spay/neuter contract does NOT allow our puppies to be fixed until at least 12 months of age, but has to be fixed by 26 months of age?
Yes
No
Breeders please tell me about your breeding program, how many dogs you have, plans with this puppy, are they in your home or a kennel?
Pet only please tell me about your home and what a day in the life of your puppy would be
Are you willing to keep in contact with us and send frequent updates and photos of your puppy? We love and appreciate all updates!
Yes
No
Do you understand that puppies not picked up within 4 days of the designated go home date are subject to $25 per day boarding fees?
Yes
No
Do you understand all puppies will have their tails docked to breed standard? We do not remove dewclaws.
Yes
No
Do you understand that we cannot guarantee the color, size, personality, or anything to do with the physical appearance of your puppy?
Yes
No
What are you looking for personality/temperament wise?
If kids are in the home are they familiar with how to properly treat dogs?
Who will said dog stay with when you go to work, vacation, etc?
What other animals are in the home?
Color Preference
Gender Preference
Male
Female
No Preference
Will dog be kept up to date on shots and see a vet regularly?
Yes
No
Have you ever had to rehome a pet? Why?
Dog Groomer's Name and Number
Vet's name and number
I, (Insert your full name), understand that any payments I make towards my puppy from LoElls Standard Poodles is 100% nonrefundable for any reason.
*
First Name
Last Name
Date
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Month
-
Day
Year
Date
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