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: |___|___|___|___|___|

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?

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SECTION 2 - PET HISTORY

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

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 ___

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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 $__________