* Quality Poodles for Quality Homes *

Puppy Placement Request Form

Selecting a Standard Poodle

Thank you for your interest in owning an Admiration Standard Poodle.

Please print & fill out this form in its entirety.
Then fax it to us at 951-801-2704.

You may also download this form as an Excel file
and email it back to us. To download the file, click the link below:

MY PREFERENCES:
__ puppy
__ adult

__ male
__ female

__ black
__ white
__ cream
__ apricot

__ blue
__ silver
__ chocolate
__ red

___ / ___ / 20___
Estimated pick-up date

SECTION 1 - PERSONAL INFORMATION
(please print legibly)

First Name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Last Name: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Phone #1: |___|___|___| - |___|___|___| - |___|___|___|___|

Phone #2: |___|___|___| - |___|___|___| - |___|___|___|___|

E-mail address:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Street address:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

City:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

State: |___|___| Zip: |___|___|___|___|___|

Please let us know how you found our web-site:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Do you own or rent your current residence? OWN ___ RENT ___

How long have you resided at your current address?

Do you plan to move in the future? YES ___ NO ___ If yes, where to?

Number of people residing with you ____ If children, please list ages.

Have the children been around pets before? YES ___ NO ___ If yes, what type?


SECTION 2 - PET HISTORY

Do you have a regular veterinarian? YES ___ NO ___ If yes, please fill in below:

Veterinian's name ________________________ Phone number(s) ________________/________________

Address ____________________________________ City ________________ State ___ Zip _________

Do you have a regular pet groomer? YES ___ NO ___ If yes, please fill in below:

Groomer's name ________________________ Phone number(s) ________________/________________

Address ____________________________________ City ________________ State ___ Zip _________

Do you currently have any pets? YES ___ (go to "A") NO ___ (go to "B")

A.
If yes, what type(s)?

Are your pet(s) kept indoor or outdoor?
INDOOR ___ OUTDOOR ___ BOTH ___

If "both", please explain

Would your Standard Poodle be indoor or outdoor?
INDOOR ___ OUTDOOR ___ BOTH ___

If "both", please explain

Are your current pet(s) spayed or neutered?
YES ___ NO ___ SOME ___

If "some", please explain

Will your new Poodle be in communication with your other pet(s)?
YES ___ NO ___

B.
Have you owned dogs before? YES ___ NO ___

If yes, what breed(s)

How long did you have the above described dog(s)?

What became of him/her/them?

SECTION 3 - YOUR INTEREST IN A POODLE

What is it that attracts you to the Standard Poodle breed?

What energy level would you like your poodle to have? Mild ___ Medium ___ High ___

Are you in a financial position to:

  • Get your poodle groomed on a monthly basis? ($65 - $150, depending on the clip style) YES ___ NO ___
  • Take your Poodle to a veterinarian when necessary for regular health care, surgery or emergency medical care? YES ___ NO ___

Do you plan to register your Poodle with the AKC (American Kennel Club)? YES ___ NO ___

Do you plan to show your Poodle? YES ___ NO ___

Do you plan to breed your Poodle? YES ___ NO, I plan to spay/neuter ___ UNDECIDED ___


SECTION 4 - LIFE WITH YOUR POODLE

Do you have a yard? YES ___ NO ___ If yes, what size? ______ Fenced? YES ___ NO ___

Would your Poodle be at home alone during your working hours? YES ___ NO ___

Do you think it’s necessary to take your Poodle for regular walks for his/her physical/emotional well being? YES ___ NO ___

How do you plan to go about socializing your Poodle? (Please give full details - use more paper as needed)

Do you plan to participate in any sports with your Poodle? YES ___ NO ___ If yes, what sport(s)?

Do you plan to have your dog participate in outdoor activities with you, such as camping, boating, fishing, biking, hiking, etc.?
YES ___ NO ___
If yes, what activities?

Do you plan to take your poodle to an obedience class when he/she is old enough? YES ___ NO ___

Would you agree to training your Poodle with a "light touch" rather than a "heavy hand"? YES ___ NO ___

Do you plan to provide a crate for your Poodle? YES ___ NO ___

Do you plan to feed your poodle food that is all natural and of top quality? YES ___ NO ___ If yes, what brand?

Do you plan to give your Poodle vitamins? YES ___ NO ___

How often do you feel a responsible owner should take a Poodle to a vet for a check up, even if the Poodle shows no signs of problems?

If a health problem arose at any time during your Poodle's life, would you be willing to inform Admiration? YES ___ NO ___

If death occurs with your Poodle, would you be willing to inform Admiration? YES ___ NO ___

If, at any time during your Poodle's life you could not keep him/her, would you be willing to inform Admiration as to your plans for your Poodle? YES ___ NO ___

Do you feel it would be okay to take your Poodle to the pound if you were unwilling or unable to care for him/her? YES ___ NO ___

Would you agree to name your Poodle a name that is not derogatory or offensive and which holds the dignity of the breed?
YES ___ NO ___

My budget range for a Standard Poodle puppy is from $__________ to $__________

YOUR SIGNATURE ___________________________________ DATE ___________


At Admiration, our Main Objective is to do what is best for each and every individual Standard Poodle and ultimately do what will help our wonderful breed to flourish for many years to come... 

Click Here to read "An Open Letter to Poodle Lovers". Naturally, we reserve our esteemed right to place or not place our Standard Poodles in homes which, at our sole discretion, may or may not be deemed suitable for the Standard Poodle, persons, family, and/or any environment. Our primary position is that "the Standard Poodle always comes first".

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ADMIRATION STANDARDS
phone:
714-234-6367 · e-mail: poodletown@gmail.com

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