Puppy Placement Request
Admiration Standard Poodles - 714-234-6367
Personal Information
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Please let us know how you found us
My Preferences
Puppy
Adult
Male
Female
Color
Black
White
Cream
Apricot
Silver
Silver-beige
Blue
Chocolate
Red
Estimated pick-up date
-
Month
-
Day
Year
Date
Current residence
Rent
Own
How long at current address?
In years
Do you plan to move in the future
Yes
No
If yes, when and where to?
Number of people residing with you
If children, please list ages
Have children been around pets before?
Yes
No
If yes, what type?
Pet History
Do you have a regular veterinarian?
Yes
No
Do you have a regular Pet Groomer?
Yes
No
Do you currently have any pets?
Yes, go to Section A
No, go to Section B
Section A
What type?
Your pets are kept:
Indoors
Outdoors
Both
Comments
Would your Standard Poodle be allowed in your home
Yes
No
Comments
Are your current pets spayed/neutered?
Yes
No
Other
Comments
Will your new Poodle be in communication with your other pets?
Yes
No
Comments
Section B
Have you owned dogs before?
Yes
No
If yes, what breed(s)?
How long did you have them?
What became of them?
Your Interest in a Poodle
What is it that attracts you to the Standard Poodle breed?
What energy level would you like your Poodle to have?
Mild
Medium
High
Are you in a financial position to get your Poodle groomed on a monthly basis? ($65 - $150, depending on the clip style)
Yes
No
Are you in a financial position to take your Poodle to a veterinarian for health care, including surgery or emergency care?
Yes
No
Do you plan to register your Poodle with the AKC (American Kennel Club)?
Yes
No
Undecided
Do you plan to register your Poodle with the UKC (United Kennel Club)?
Yes
No
Undecided
Do you plan to show your Poodle?
Yes
No
Do you plan to breed your Poodle?
Yes
No (I plan to spay/neuter)
Undecided
Life With Your Poodle
Do you have a yard?
Yes (fenced)
Yes (not fenced)
No
If yes, what size?
Would your Poodle be at home alone during your working hours?
Yes
No
What hours during the week would your Poodle be left alone?
Do you think it's necessary to take your Poodle for regular walks for physical/emotional well being?
Yes
No
How do you plan to go about socializing your Poodle?
Do you plan to participate in any sport(s) with your Poodle?
Yes
No
If yes, what sport(s)?
Do you plan to have your dog participate in outdoor activities with you, such as camping, boating, fishing, biking, hiking, etc.?
Yes
No
If yes, what activities?
Do you plan to take your Poodle to an obedience class when he/she is old enough?
Yes
No
Would you agree to training your Poodle with a "light touch" rather than a "heavy hand"?
Yes
No
Do you plan to crate your Poodle?
Yes
No
Undecided
Do you plan to feed your Poodle food that is all natural and of top quality?
Yes
No
If yes, what brand?
Do you plan to give your Poodle vitamins?
Yes
No
If yes, what brand?
How often do you feel a Responsible Owner should take a Poodle to a veterinarian for a check up, even if the Poodle shows no signs of problems?
If a health problem arose at any time during your Poodle's life, would you be willing to inform Admiration?
Yes
No
If death occurs with your Poodle, would you be willing to inform Admiration?
Yes
No
If, at any time during your Poodle's life, you could not keep him/her, would you be willing to return your Poodle to Admiration for re-homing?
Yes
No
Do you feel it would be okay to take your Poodle to the pound if your were unwilling or unable to care for him/her?
Yes
No
Would you agree to name your Poodle a name that is not derogatory or offensive and which holds the dignity of the breed?
Yes
No
My budget range for a Standard Poodle is:
Less than $1500
$1500 - $2000
$2000 - $3000
Any other comments you'd like to make...
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