Adoption Application

Contact Information

Your Name

Your Email

Phone

Cell

Address

City, State, Zip

County

Select Variety

Select Gender

Color
 No Color Preference

Housing
 Rent Own

For Renters - Landlord Name

For Renters - Landlord Phone

Have you owned a dog?

If yes, what breed and what happened to it?

Any Allergies to dogs in the immediate family?

Children or Grandchildren?

If yes, ages of children or grandchildren

Where will the dog stay while you're away from home?

Where will you exercise the dog?

Do you have a fenced yard?

Any Pets in the home?

If yes, what kind of pets?

Why is the poodle your breed of choice?

Poodle adoption fees can vary, depending upon our costs incurred for vaccinations, spaying/neutering, and heart worm test, etc.

A provided form entitled "Adopted Dog Release of Liability" form will also be required to be signed at the time of adoption.

If a rescue dog is not available, would you be interested in purchasing one from a breeder?
 Yes No