EmailMe Form - Safranné Puppy Application

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

How did you hear about Safranné Miniature Poodles?

Have you ever owned a miniature poodle?

Yes

No

Do you prefer a male or female?

Male

Female

No Preference

Are you aware of the costs to keep a poodle well groomed?

Yes

No

Unsure

Do you work full time?

Yes

No

Do you have a fenced yard?

Yes

No

Are you willing to go to classes for obedience and socialization?

Yes

No

Is everyone in your family in agreement with adding a puppy to the family?

Yes

No

Are you willing to provide medical care and premium food for the dogs health?

Yes

No

In the event that a circumstance does not allow you to keep the puppy, would you be willing to return the puppy to the breeder?

Yes

No

If not, please explain below.

Please explain here:

Please provide TWO references AND one vet reference if you have one.
- Include names, phone numbers and email addresses *

Any additional consideration/explainations?