Pickerel Pups Application

First name

Last name

Email

Phone

How did you hear about us?

Friends

Social Media

Other

Which litter are you interested in?

Standard Poodle- Fiona's litter

Standard Poodle- Cosette's litter

Other- Future litter

I would prefer a ...

Do you currently own any other animals?

Yes

No

If yes, tell us about your currents pets and please include Veterinarian information

What type of home do you live in?

House

Condo

Apartment

Other

Do you own or rent?

Own

Rent

Does your home have a yard?

If yes, it it fenced?

Yes

No

If not, how will your dog exercise? (describe below)

Where will your dog live?

Inside

Outside

Both

Do you have any children living in your home?

Yes

No

If yes, how many and ages of children?

What are the important factors of a dog for you?

Do you have any questions for us or other information you want to share? Feel free to let us know!