Adoption Application

    Name*

    Address*

    Contact*

    I am interested in:
    Companion puppyGuardian puppy





    MildModerateSevereNot Applicable


    YesNo


    YesNo


    YesNo







    ABOUT YOUR HOME


    HouseApartmentCondoOther


    CitySuburbsCountry



    YesNo


    YesNo



    YesNo



    Fenced yardInvisible fenceDog runPlan to walk dog on leashPlan to let run looseOther



    YesNo

    Veterinarian you plan to use*


    YesNo


    YesNo

    ABOUT THE DOG




    A companion/petA therapy dogA service dogA breeding dogOther


    Must have maleMust have femaleFlexible, just want the best temperament match for meFlexible, but prefer maleFlexible, but prefer female



    Mini (15-25 lbs)Medium (30-45 lbs)


    ChocolateRed/apricot (black nose)CreamBlackPartiCaramel (liver nose)Color is not important to me




    Very curly (wool). This type tends to be the least grooming maintenance, and does not typically mat easily. Most poodle-like.Curly fleeceStraight/relaxed wavy fleece