contact us

You can find us at

EMAIL

redheadheavenpoodles@gmail.com

LOCATION

Bonsall, San Diego, CA, 92003

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Application Form

Name *

First

Last

Email *

Numbers *

Street Address *

State *

Zip Code *

How long have you been at this address? *

Gender *

Is there a puppy you are interested in? You can visit our Puppy's for Sale Page to see what is available. Or you can describe what you are hoping for: *

How many adults are there in your family? What is there relationship to you? *

How many children are in your home? *

What type of home do you live in? Single family, townhome, apartment, farm, ect.? *

What type of year does your living situation have? (Fenced yard, dog park, closed in porch, eat.?) *

If you rent, please give the rules governing pets and the landlord's name and number: *

Please describe your household: *

Active
Noisy
Quiet
Average

Does anyone in the family have a known allergy to dogs? *

Is everyone in agreement with the decision to purchase a dog? *

What other pets do you have (specify type and age)? *

Are these pets up to date on vaccines and see your vet regularly? *

Are these pets speed or neutered? *

If answer No please explain why:

Have you ever surrendered a pet? If so, why? *

How do you discipline your pets and why? *

Do you agree to provide regular health care by a Licensed Veterinarian? *

Veterinarian's name:

Clinic Name:

Where will the dog spend the day? *

Where would the dog spend the night? *

Number of hours (average) will dog spend alone? *

Who will have primary responsibility for this dog's care? *

Do you agree to keep this dog as an indoor dog? *

Personal Perferrance Name *

First

Last

Phone Number: *

Relation to you: *

Signature *

First

Last

Date: *

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