APRICOT RED POODLE CLUB

PUPPY REFERRAL FORM  


The contents of this form will be submiitted to the Club by email. The Club will then send the information out to the Club Members. If there is a member that has a pup for sale, they may get in touch with you.

Additionally, breeders do not always have litters available and most maintain a waiting list. Please visit our litters page for puppies currently "on the ground".

 
Please fill in all fields marked with a *
Name: *
Address: *
City: *
State: *
Zip/Postal Code: *
Country if out of the USA:
Home Phone: *
Work Phone:
Email Address: *
Occupation: *
I would prefer a: Male
Female
No Preference
For what purpose are you purchasing a puppy? Pet Only
Breeding Only
Show and Breeding
*
I am looking for this size: Standard
Miniature
Toy
*
My color preference is: Apricot
Red
Cream
*
Have you ever owned a dog previously? Yes
No
*
If so, what breed/s?
Do you still have a dog? Yes
No
If not, whatever happened to Him/Her?
Why have you selected a Poodle? *
Are there other animals in your home? Yes
No
*
Please list other animals:
How many adults live in your home?
If you have children in your home, please list thier ages:
Do you have a fenced yard? Yes
No
*
If no, please describe your yard.
How will you House Train the puppy? *
Will routine medical costs (vacinations, well care, neutering etc.) for this puppy fit comfortably into your budget? Yes
No
*
Are you willing to take your puppy to obedience classes? Yes
No
*
Are you aware of the grooming requirements of Poodles? Yes
No
*
Who will groom your Poodle? I will
A professional Groomer
*
Please list the contact information for your veterinarian as a reference: *
Please use this area for additional information or comments: