Our Application

Poodle Rescue Connecticut

and surrounding New England States

Home Phone *

Where will your pet sleep at night?

Are you prepared to housebreak this pet? Describe the method you will use:

Cell Phone

How many hours a day will your pet be left alone?

If rent, name and phone number of landlord:

How old are the adults in the household? *

State *

Name: *

Zip *

Is the yard fenced on all sides?

Fenced

Not Fenced

Height of fence:

Name or description of the pet(s) in which you are interested: *

Enter any other information you wish us to have here. Personalization helps us to know you better.

Please complete the entire application and click "Submit". We will review you application and one of our volunteers will be in touch as soon as possible.

Questions designated with a * require an answer.

We will call the Veterinarian and Groomer that you list as references.
You MUST notify them in advance to authorize release of your information to us as part of this application.

Do you own or rent your home? *

Own

Rent

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 names, addresses and phone numbers: *

Names, ages and types of pets in the household: *

Do you have a yard?

Yes

City *

Street Address *

Email *

Our Application

Street Address 2

Type of property:

Single Family Home

Multi Family Home

Apartment/Condo

Do you have experience with Poodles or other dog breeds? Please describe: *

How old are the children in the household? *

Where will your pet be kept when you are at home?