PUPPY APPLICATION

PUPPY APPLICATION
Full Name *

First Name Last Name
Email *
example@example.com
Phone Number *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Which Method of contact would you prefer?

Text Email
We are located near Sacramento CA, will you be picking up your puppy, or needing a nanny? We can meet at the SMF airport for families flying in also! *
Gender? *

Male Female Does not matter Undecided
Which waitlist are you interested in joining? *

Red Solid Toy Red Abstract Toy/Miniature/Moyen Red Parti Toy/Miniature/Moyen Phantom Miniature Merle Phantom Miniature
What size are you interested in? *

Toy Miniature Moyen
Please specify which color/pattern you are interested in along with any special details to help us find the right waitlist for you. *
I plan on having this dog for:

Family Dog Breeding Therapy Dog Work Service Dog Work Agility Companion for myself other
Preferred Personality

Assertive Confident Reserved Unsure Help me find the right fit
AKC Registration/Breeding Rights or Pet Home/Companion *

AKC Registration, I intend to breed or show Pet Home, I just want a loving pet
If wanting AKC Registration/Breeding Rights, please tell us about your program along with website or page link
My lifestyle is best described as: *

Very Active Mildly Active Rarely Active
How many hours a day will your dog be left home alone? *

8 plus hours 5-8 hours 2-5 hours Less than 2 hours
Will this be your first dog? *

Yes No
Please describe your home environment in which your puppy will be raised. Include if you have children, other dogs or pets, and your work schedule and plans for puppy care while you are away. *
Once you have picked out your new puppy, our contract needs to be filled out and sent back to Dreier's Fire Poodles via email within 48 hours. *

Yes I agree No I don't agree
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