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POODLE CLUB SUCCESSFUL RESCUES II SUCCESSFUL RESCUES RESOURCES FOOD 4 THOUGHT FUN ADOPTION FORM
ADOPTION FORM

>   Adoption Application  





Poodle Rescue Adoption Application

So that we can best match you with your pawfect poodle or poodle mix, please take a few minutes to carefully fill out this application.  If a question does not apply to you please type in N/A.


Also please don't use the ampersand "&" AKA "and" symbol.


Don't forget to scroll down and hit SUBMIT when you are done!


Each space has room to be descriptive - the more descriptive you are about what you are looking for the better we will be able to help make the pawfect match.

Are you ready to adopt now? If not, do not fill this out until you are ready *
Are you willing to drive to either Camarillo or Ventura in Southern California to pick up a dog? If not, please do not fill out this form. *
Your name(s) *
E-mail Address *
Phone Number *
Work Phone Number
Address *
Your Home Address
City, State, Zip *
Poodle Size Preference *

I (we) hope to adopt:


Toy   Miniature   Standard   Poodle Mix  
Male/Female? *
Male   Female   No Preference  
What is the age of the oldest poodle you would consider adopting? *
Would you consider a poodle mix? *
How many hours per day, on average will this dog be left alone? *
Ages of Children living at home *
Do you live in a... *
House   Mobile Home   Apartment   Condo   Other  
Do you own or rent? *
Do you have a fenced yard? *
Please describe your fence in detail. What is it made of? How high is it? Etc. *
If you do not have a yard, what arrangements will you make for the dog's exercise and toilet requirements?
Do you have a pool? *
If you have a pool is it separately fenced from the rest of your yard? *
Your age(s) *
Marital Status *
Occupation of each adult living in the home. *
List Breed, Sex and Age of each pet you currently have... *
if you don't currently have pets please type in N/A.
Are your current pets spayed/neutered? *
if you don't currently have pets please type in N/A.
Who is your current veterinarian?
Veterinarian's address and phone number...
Name of your current - or former groomer. *
Phone and Address of groomer
If you have ever owned a dog before please describe what happened to your last dog(s).
How often will you have your dog groomed? *
How much do you expect to pay to have your poodle groomed? *
Have you ever owned a poodle before? If yes please describe your experience and what happend to your poodle. *
Would you consider adopting a poodle with a handicap or a medical problem? *
Where will the dog stay during the day? *
Where will the dog stay during the night? *
Are you committed to caring for this dog for its entire lifetime? *
Do you consider yourself financially stable enough to *
provide... proper diet, medical care, including emergency treatment along with the grooming a poodle requires?
Are you aware that there is an adoption fee... *
which will cover spaying/neutering, vaccinations and any other veterinary work including major surgery if needed to have your poodle in the best health possible - and that the adoption fee also helps off set medical expenses associated with future rescues?
Would you allow a home visit prior to your adoption? *
How did you hear about our poodle rescue?
Personal reference, name, address, phone number *
Did a particular dog on the web site catch your eye?
If so, which one?  If there are currently not any dogs on the site that catch your eye this is a good spot to be descriptive about what size dog you would like.  For example -- within what weight ranges would you like your dog to be?
We do not solicit donations. The adoption fees we charge help cover the dogs' medical expenses. All of the dogs that we place have been checked by a veterinarian and have been spayed or neutered, have been micro chipped, are up to date on all shots and have received any medical care deemed necessary by our veterinarian including worming and teeth cleaning, etc. Additionally each of the dogs is free of external parasites and has been groomed. Our adoption fees start at $100 for older dogs. Adoption fees for young dogs usually average $350. Many of the young Standards and young highly desirable dogs, including larger mixes are $500 - or in some cases more. Every penny of the adoption fees goes back into the program to off set medical expenses and grooming expenses. The adoption fees charged for the younger most desirable dogs help continue the work we do with older, ill or injured dogs. *

Please use this last text box to add any other information you wish us to consider in placing a Poodle with you.

Thank you for your interest, please don't forget to hit SUBMIT at the bottom of this page.

* Required to submit this form





POODLE RESCUE: Madeline: 1 (805) 529-7405 • Heidi: 1 (805) 647 -6432
Email: [Phone call preferred!] Madeline: bradandmad@aol.com • Heidi: hhamilton3@roadrunner.com
[We do NOT check our email every day but we do return phone calls every day!]

Fax: 1 (805) 529-7340

Do you have a poodle you need us to find a new home for?
If so please do NOT email - instead PHONE one of us!
Madeline: 1 (805) 529-7405 Heidi: 1 (805) 647 -6432

Newsweek April 28, 2008: Shelters around the country kill 4 million animals every year; by some estimates, more than 80 percent of them are healthy.

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