Lixira Poodles Puppy Application

Puppy Application Form

Complete your details and preferences, and confirm your commitment to lifelong care.
Applicant Information
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Household Information
Do you own or rent your home?
List all household members and their ages
Are there children in the household?
Lifestyle & Dog Experience
Describe your typical daily routine.
Have you owned dogs before?
Please share your previous dog ownership experience.
Current Pets
Do you currently have pets?
List all current pets (species, breed, age, spayed/neutered).
Veterinarian Information
Veterinarian Name/Clinic
Veterinarian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Puppy Preferences
Preferred Gender
Preferred Color(s)

Other
Purpose for adopting a puppy

Other
Describe your ideal puppy personality.
Training, Grooming, and Daily Care Plans
How will you train your puppy?
What is your plan for grooming?
Describe your daily care routine for your puppy.
Emergency Care Plan
Please describe your emergency care plan.
Agreement & Commitment
Signature
Should be Empty:

Puppy Application Form