and Beauty since 1974

Name______________________________Date___________________

Address___________________________________________________

City__________________________State________Zip______________

Home Phone (____)_____________Email_________________________

Purchase Price_______________Deposit $200 (non-refundable) Once your application is accepted, your check will be cashed and your name placed on our waiting list. If your application is rejected, your check will be returned.

Please answer the following questions to help us know more about you and what kind of puppy you want.

I would prefer a MALE_______ FEMALE________ EITHER________

My reason for this preference_____________________________________

_____________________________________________________________

SIZE_______________________COLOR_______________________

If there is not a puppy available that is your sex preference or color preference, or if there are not enough puppies born in the litter you are waiting for, are you willing to switch sex______ or color___________

(please indicate alternate), or wait until next litter________________????

Single______ Married_______ Spouse/Other Adult Name______________

Are all the adults in the home interested and involved in the pup?_________

Do you have children?_______________

What are your children's names and ages?

1.__________________ 2.____________________ 3.__________________

4.__________________ 5.____________________ 6.__________________

What is your occupation?_________________________________________

Does/Do your job/s allow you/spouse/other adult/older child to come home mid-day for a new puppy?

____________________________________________________

Who referred you to Degana Poodles?______________________________

Please give a reference name and phone number (someone who knows you & how you are with dogs)._______________________________________

Your Veterinarian's name?_____________________PH#(____)__________

Your Groomer's name?______________________PH#(____)____________

Do you understand that this puppy would be a companion dog, so you would spay or neuter between 6-9 months of age?____________________

Have you ever owned a dog before?________ IF yes, please answer the following questions, if not skip to *

What kind of dog?____________________

How long did you have it?_____________________

Have you ever owned a dog and decided you either could not or did not want to keep it?__________________

If yes, why?___________________________________________________

*Explain why you want a poodle.

_____________________________________________________________

_____________________________________________________________

Have you read any books about raising or training dogs?_____ IF yes, which ones?_________________________________________________________

We recommend "The Art of Raising a Puppy" by the Monks of New Skete.

Do you have a fenced yard?______________________________

Where will the new puppy live?___________________________

How do you plan to exercise the puppy?_____________________________

__________________________________________________________________________________________________________________________

Please give a brief description of your family life-style, and how you plan to incorporate a dog into your life.____________________________________

__________________________________________________________________________________________________________________________

Do you plan on training your dog?________

For what? Obedience______Hunting______Therapy______Show______

Companion_______

Will you train the dog yourself?_________________________________

Please describe your "dream" dog and what its personality would be like.

(For example: calm mellow, spunky, playful...)

__________________________________________________________________________________________________________________________

_____________________________________________________________

We recommend:

-a #500 Airline Kennel or its Wire Equivalent in Size for our Standard Poodles as an aid in housebreaking and as your dog's "bed".

-raw or smoked bones, hard rubber toys, or Nyla bones. We do Not recommend rawhide chews as these will soften and may become lodged in the throat.

-that tennis balls be used under supervision.

-8-10 weeks Obedience Training for all of our puppies. This helps you get control and focus their minds at an early age (6-9 months).

-contacting a groomer before you bring home the new puppy.

Please return this application to Degana Poodles, and you will be contacted fi an appointment to come out and see the dogs and visit with us. Thank you for contacting us!

Degana Poodles

Tom & Anne Dege

16415 590^th Ave.

Litchfield, MN 55355

(320)693-2797