Puppy Application

Thank you for your interest in our wonderful poodles.

Please answer the following questions, as this better helps us
evaluate your needs and match you with a right puppy.
* Name:
* Street Address:
* City:
* State:
* Zipcode:
* Home: * Cell:
* Email:
PUPPY GENDER you prefer to have:
Boy Bitch Doesn't matter
PUPPY COLOR you prefer:
What activities do you plan on doing with this dog?
No Activities just Pet Conformation Show Hunting Obedience Agility Trials Therapy dog Lure Course
In few sentences, please describe your situation, why do you want to get a new puppy:
Do you have children at home? If so, how many and what age?
Do you own or rent?
Own Rent House Condo Apartment
Do you have a fenced yard? If so, please describe in details, material its made of, height, and approx. size:
Have you owned a Poodle before?
Yes No Do you own a Poodle now? Yes No
Where did you acquire your Poodle?
Do you have any other dogs or pets? If so, please describe:
What qualities and traits are you looking for in a Poodle?
Have you ever turned an animal into an Animal Shelter or Rescue? If yes, please explain the circumstances:
What value do you place on the health and well being of a pet?
Where will your pet spend its time during the day?
And at night?
What outside shelter do you provide for your Poodle?
Who will be the primary caregiver for your pet?
Do you have a Veterinary?
Name: Phone#:
Do you have a groomer?
Name: Phone#:
Thanks for considering our puppy. Our litter usually reserved before puppies born. A $350 deposit is required to reserve your Standard Poodle puppy. Check payments should be made out to Oksana Fagenboym. Once your deposit is received, your selection position is based on the order of deposits received, i.e. 1st choice, 2nd choice etc. Should you not be able to visit us in person, we will continue to update pictures and video to help you make your choice. Deposits are non-refundable, but are transferable to another litter, should the Standard Poodle puppy of your preference not be available. If, for any reason, said puppy is no longer for sale, deposit will be refunded. Hope for your understanding that home shows will be our first priority to place our puppies. Companion Puppies will be sold on a Spay/Neuter contract.

Oksana and Sam Fagenboym
420 Montgomery Street, San Ramon, CA, 94583
Phone: 510-612-3231
Email: rocknrollapoodles@gmail.com