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Puppy Application Form
Chapel Hill Poodles
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Name
*
Your answer
Email
*
Your answer
Street Address
*
Your answer
CITY/ STATE/ ZIPCODE
Your answer
Phone number
Your answer
Mobile Phone number
Your answer
Do you have a color or gender preference?
Black/White
Brown/White
Blue/White
Male
Female
Either
Black/White
Brown/White
Blue/White
Male
Female
Either
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Are you looking for an active poodle which needs a job or to jog with everyday or a more sedentary poodle to keep you company while you read/watch tv/work on the computer?
Sedentary
1
2
3
4
5
Active
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Please tell what activities you will be doing with your poodle. (ie. going to the park, boating, hunting, dog sports, playing fetch, etc.
Your answer
Do you have a fenced yard?
Your answer
Do you live in an apartment and do you have a plan for your poodle to get excercise?
Your answer
Please tell me which pets you currently have in your home and their ages:
Your answer
Please tell me about who lives in the home where your poodle would be living.
Your answer
Have you ever competed in agility, obedience, rally, barn hunt, herding, fast cat, dock diving, scent work, tracking or other kennel club performance sports?
Your answer
Are you interested in showing your poodle in conformation? AKC? UKC?
Your answer
Do you currently use or will you consider using a veterinarian who supports a holistic or natural approach to your poodle's health? (this is especially important with flea and tick management/prevention):
Your answer
What kind of food do you plan on feeding your poodle?
Your answer
Where will your poodle be staying at night and when you are not at home?
Your answer
Do you have a groomer? Do you intend to groom your poodle yourself? What is your experience with caring for a poodles' coat and hygienic needs?
Your answer
Do you plan to attend training classes and /or use a trainer?
Your answer
Do you plan to spay or neuter your poodle? Do you plan to breed?
Your answer
Have you ever owned a poodle before?
Your answer
Have you ever owned a dog before? Have you ever raised a puppy?
Your answer
When will there be someone home to care for your poodle?
All day and night. My poodle will be with me all the time.
My poodle will be home alone only when I am at work
There will be someone at home if it is not me who can look after my poodle.
I will take my poodle to work with me.
poodle will be home alone when I work and when I'm out socializing.
Other
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Please give reference from your veterinarian, groomer, and/or friend
Full Name
Address
Contact Number
1
2
Full Name
Address
Contact Number
1
2
How did you hear about us?
Your answer
When do you want to have your poodle within the next year?
Now
within 1 to 2 months
the next 6 months
within a year
Other
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Is there any other information you would like to know?
Your answer
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