PUPPY REFERRAL FORM

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: