This questionnaire was prepared for the benefit of you, the prospective owner,
and for the dog that you plan to have become a part of your family. The
following questions will help us match a dog with the proper home
based on the prospective owner’s lifestyle and on the rescue
dog’s personality and abilities. Please complete the form and submit it, so that
you can be placed on a waiting list. Applications are kept for 3 months only as it has been our experience that people will no longer be looking after 2-3 months, usually having obtained a dog from elsewhere. If we attempt to contact you and receive no response to our phone calls after a few days, we'll assume that you no longer wish to be on our wait list.
Please use the TAB button to move from field to field. If you hit the "ENTER
button the form will be submitted prematurely.
We adopt to homes within our immediate area of NJ, NY and PA. It is the responsibility of an adopter to travel to visit a dog in their foster home. We do not "deliver".
Please submit an application ONLY if you are willing and able to take your dog within the next few days and there is full agreement in your household. If we find a good match for your home we could offer you a dog immediately. We do not "hold" dogs. If not we will hold your application for 2-3 months.
Your name:
Street Address:
City, State, Zip:
Phone:
Email Address: We will use your email address to contact you so if you are using a spam blocker program please be aware of this.
Occupation:
Age:
1. Why do you want a poodle?
2. What variety/size of poodle to you wish (Toy, Mini, Standard)?
Do you prefer a male or female? ***Males are much more common in rescue than females.***
Male
Female
Either
What age range will you accept?
(For example: under three years, four to six, etc.)
***Please be advised that puppies never come into our rescue; most rescue dogs are over two years.***
If you're interested in a specific dog that is listed on the web page, which one?
3. Do you have other pets?
Yes
No
What kind of pets do you have?
If you have other dogs, what is their name and breed, gender and age? And are they altered?
How do you think your other pets will get along with a new dog? Do you anticipate any problems?
4. Have you had a pet before? If so what kind?
How long did you have that pet? What happened to it?
3. Have you ever owned a poodle before?
Yes
No
If yes, what happened to your poodle?
4. Who is this poodle for?
If not for you, is this person aware he/she will be getting a poodle?
Yes
No
6. How many adults live in your home?
please list their names and their ages:
7. Do you have children? If so, please list their first names and their ages:
8. Does everyone in your family want a dog?
Yes
No
9. Who will be the dog's primary caretaker?
10. Please answer the following questions about your home:
House
Condo
Apartment
Other
Own
Rent
Rural
Suburban
Urban
11. If leasing/renting, does your lease allow pets?
Yes
No
12. Do you have a fenced yard?
Yes
No
Describe the fence, please. (electric or traditional, height, fencing material, partially or totally fenced, etc.):
13. Do you have a pool?
Yes
No
If you have a pool, is it enclosed in a separate fenced area?
Yes
No
14 Describe how your dog will live (indoors, outdoors, etc.):
15. Approximately how many hours a day will your dog be left alone?
Where will the dog stay while no one is home?
16. During the day while someone is home, where will your dog be kept?
17. Where will the dog stay at night?
18. How often do you travel?
Where will the dog stay you're traveling?
19. Do you realize that a poodle may live for 10-20 years?
Yes
No
Are you committed to caring for a dog for these 10-20 years?
Yes
No
20. Are you aware of the grooming costs and requirements of Poodles?
(Approx. $35-100 every 4-8 weeks)
Yes
No
Are you aware of boarding costs?
(Approx. $10-25 per day)
Yes
No
Are you aware of normal yearly veterinary costs?
(Approx. $100-350 per year)
Yes
No
21. How do you expect the dog to behave in your home?
22. What kind of activities do you plan on doing with your dog? (Housedog,
outdoor dog, companion, nothing, agility, obedience, flyball, tracking,
hunting/retrieving, etc.)
23. Some rescue dogs may have behavorial problems due to their past
situations. Are you willing to attend obedience and other types of
classes to train your dog, and to deal with any behavioral issues the dog has?
Yes
No
24. Are you agreeable to returning the dog, should some unforseen
circumstance arise wherein you would no longer be able to keep the dog?
Yes
No
25. We try to conduct applicant home visits whenever possible.
Would you be willing to allow us to visit your home?
Yes
No
When is the best time for someone to visit you?
26. How did you find out about us?
27. Please list two character references whom we may contact. Phone numbers are preferred.
28. Do you have a veterinarian whom we could contact? If so please list
name and telephone number.
**** This application can not be processed without the name and phone number of your current vet. Please contact your vet ASAP and give your permission to release your information to our group. ****
Do you have a groomer whom we could contact? If so please list
name and telephone number.
**** This application can not be processed without the name and phone number of your current groomer. Please contact your groomer ASAP and give your permission to release your information to our group. ****
29. Do you have any questions?
Please note: Adoption fee information, which is due in full at the time of the adoption, is listed on the Watchung Mountain Poodle Club Rescue Page
COMPLETED BY (your name):
DATE: