EmailMe Form - Starfleet Poodles Puppy Questionaire/Application

Name *

First Last

Address *

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

Home Phone *

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

Cell Phone *

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

Email *

Your occupation? *

Do you work full time? If so, how many how many hours? *

Have you owned a pet previously? If so what Kind? *

Have you ever owned a standard poodle? *

Yes

No

Are you willing to keep the poodle groomed on a regular basis? *

Would you prefer a male or a female and why? *

Do you have a Color Preference? *

Yes

No

What activities are you interested in participating with your puppy? *

Do you have a fenced yard? *

Yes

No

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

Yes

No

Rent or own? *

Rent

Own

If you rent, please provide landlord contact name and phone number?

Do the bylaws of your neighborhood allow dogs? *

If renting, are dogs allowed? *

Will your puppy be living inside or outside of the home? *

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

Do you have children? Ages? *

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

Are you willing to spray or neuter your pet? *

Are you willing to send updates and pictures on your puppy to the breeder? *

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? *

Please provide TWO references AND a vet reference If you have one. *

Please initial that you have answered these questions to the best of your knowlege... *

Any additonal comments for consideration