Western Reserve Poodle Club
Poodle Rescue Application
Date:
Your name
Which would you prefer:
Variety:
Standard (over 15 inches – usually 20-26)
Miniature (over 10 inches, under 15)
Toy (under 10 inches)
Gender: Male Female Either
Age: Puppy to 4 yrs old
4 - 8 yrs old
Senior (8 yrs +)
Any age
Would you consider a Special-Needs poodle? Yes No
Would you consider a pair? Yes No
Contact Information:
Phone: Home Work Cell
Email address:
Address
City State Zip
How long have lived at this residence
Home Life and You:
Any children residing in home? Yes No Do children visit? Yes No
Please provide ages of children and experiences with dogs:
Expectations you have of a dog
Type of Dwelling Fenced Yard? Yes No
Plans for providing exercise
Your Pets and Experiences:
Other pets (types & ages)
Have you ever owned a Poodle or another dog? Yes No If yes, tell us about your dog
How long were you companions?
What happened to end the relationship?
What attracts you to a poodle?
What activities do you enjoy (or plan to) with your dog?
Have you had experience with basic obedience training? Yes No
House Breaking a Puppy? Yes No
If you work outside of the home, where will the dog be kept?
Owning a pet can be an expensive venture. Have you considered the following?
*Grooming every 4 to 6 weeks Yes No
*Annual dog license fees Yes No
*Vaccinations and heartworm/flea & tick preventative, if necessary Yes No
*Veterinary services Yes No
References: (so that we may check your references, would you please contact each of them to inform them that a representative
of the Western Reserve Poodle Club may be calling, and authorize them to talk with us. Thank you.)
Personal Reference: Name Phone
Groomer Reference (if applicable): Name Phone
Veterinary Reference (if applicable): Name Phone
There is typically a fee associated with any adoption from the WRPC Rescue organization. This fee can range anywhere from $125 - $350 (depending on the extent of veterinary care, etc, involved).
Due to the shortage of foster homes, we largely operate on a referral basis; therefore, if we have a potential match on our current waiting list, may we provide them with your contact information? Yes No Approved by
However, Western Reserve Poodle Club has not evaluated any dogs via the referral method and makes no guarantee as to the accuracy of the information provided by the referred party. The referral is provided as a courtesy. The referral dogs are not housed by WRPC members or WRPC foster homes. These are dogs that the current owner is attempting to find a new home for whatever reason.
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