Puppy Application

Application

Toy Poodle
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long at this address?:*
Are you planning on moving within the next 6 months?*

YesNo
If yes, what are your plans for your pets if you move?*
Home Phone Number*

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Name of Employer:
Work Phone Number

Area CodePhone Number
Up until what time of night can we contact you via phone?*
E-mail*
Are you 18 years of age or older?*

YesNo
Birth Date*

MonthDayYear
Do you own your own home?*

YesNo
Type of Dwelling:*
What is your reason for wanting to adopt a dog?*

HousepetCompanionCompanion for petGiftGuard DogOther
If other, please explain:
How many total hours will your new pet be left alone during the day?*
How many total hours will your new dog be outside alone during the day?*
If adopting a puppy, where would the puppy be kept when alone?*
How often will you take your pet for outside play?*
Do you have a fenced yard?*

YesNo
If yes, which type of fence?*

WoodChain LinkSplit RailN/A
If yes, how tall is your fence?:*
Do you have locks and/or latches on all your gates?*

YesNoN/A
Will your adopted dog or do your current dogs be put on a tie out?*

YesNoNot sure
Who will have chief responsibility for the care of your new pet?*
Over the past 5 years, how many pets have you owned? (Include current pets)*
List each individually including breed, age, still living with you? (if not, why?)
Have you ever lost or given away a pet?*

YesNo
If you currently own a dog or cat, how does he/she react to new pets?
Are your present pets up-to-date on their annual vaccines?*

YesNoN/A
If no, please explain:
Are your present pets spayed or neutered?*

YesNoN/A
If no, please explain.
Were your previous pets spayed or neutered?*

YesNoN/A
If no, please explain.
How much are you financially prepared to spend for routine/emergency medical care, licensing, etc?*
Are you prepared to groom your new pet daily? Grooming includes daily brushing, regular fur cuts, nail trimming, and bathing.*
What plans do you have for your new pet when you are on vacation?*
Which dog(s) are you interested in?*
Can/Will you provide your dog with monthly heart worm/flea/tick prevention?*

YesNo
If your dog displays behavioral problems (such as jumping on people,excessive barking, potty accidents, etc.) how would you go about correcting the behavior?*

Contact a ProfessionalUse a bookPersonal KnowledgeOther
If other, please explain:
What type of solution would you be willing to try if housebreaking accidents continue after the first week (check all that apply)?*

Try crate trainingUse positive enforcementUse potty padsHave dog examined by vetUse a dog doorReturn dogNoneOther
If other, please explain:
Is your entire immediate family in agreement with the decision to bring a new pet into your home?*

YesNo
If anyone is NOT, please explain:
Are you prepared to commit to a pet for 15 - 20 years?*

YesNo
Have you or any member of your household ever been charged with cruelty to animals or negligence in animal care?*

YesNo
If yes, please describe:
Have you ever adopted or tried to adopt a pet from us before? If yes, fill out info below.*

YesNo
Pet’s Information

Pet’s NameCat or Dog?Adoption/Application Date
Where will your dog spend most of his/her time?*
If you selected outdoor, would your dog be supervised?

YesNo
Where will your dog eat?*
Where will your dog sleep?*
If there is anything else you think we should know, please note it here.
Please remember, it may take approximately 2 to 3 business days for us to get back to you.
Thank you so much for wanting Penny's Toy Poodles!!
Should be Empty:

Application

Please remember, it may take approximately 2 to 3 business days for us to get back to you.

Thank you so much for wanting Penny's Toy Poodles!!