Poodle Rescue Connecticut
and surrounding New England States
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Our Application

Please complete entire application and click "Submit".  We will review your application and one of our volunteers will be in touch as soon as possible.  Questions designated with an * require an answer.
 Adoption Application
Applicant Information
Name: *
Street Address: *
Street Address 2:
City: *
State: *
Zip: *
Home Phone: *
Cell Phone:
Email: *
Name or description of the pet(s) in which you are interested: *
Do you have previous experience with Poodles? Please describe: *
Ages of adults in household: *
Ages of children in household: *
Names, ages and types of pets in household:
Property Information
Do you own or rent your home?  Own  Rent
If rent, name and phone number of landlord:
Type of property:
Do you have a yard?  Yes  No
Is the yard fenced on all sides?  Fenced  Not Fenced
Height of fence:
Where will your pet be kept when you are at home?
Where will your pet be kept when you are away from home?
Where will your pet sleep at night?
How will you provide for your pet's exercise/toilet needs?
How many hours a day will your pet be left alone?
Are you prepared to housebreak this pet? Describe the method you will use:
What is your estimate of the annual cost of food, supplies, routine veterinary and emergency care for this pet?
We require a reference from your current veterinarian and groomer. Please list their name, address and phone number. As a courtesy, you may wish to let them know we will be calling. *
Other Information
Comments:

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