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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:
Phone:
* Home: * Cell:
* Email:
PUPPY GENDER you prefer to have:
Male Female Doesn't matter
PUPPY COLOR you prefer:
Black White
If unable to fulfill your first choice of color or sex, what would be the 2nd choice?
What activities do you plan on doing with this dog?
No Activities just Pet Conformation Show Hunting Obedience Agility Trials Therapy dog Lure Course
Other:
In few sentences, please describe your situation, why do you want to get a new puppy:
ABOUT YOURSELF AND YOUR FAMILY:
 
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:
If you do currently have a dog(s), have they been spayed or neutered? If No, please explain
What qualities and traits are you looking for in a Poodle?
How many hours a day are you gone from the home?
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?
Are you in a financial position to handle veterinary expenses,
both routine and unexpected and are you aware of the time and cost involved
with the care, grooming and maintenance of a standard poodle?
Do you have a Veterinary?
Name: Phone#:
Do you have a groomer?
Name: Phone#:
By submitting the application you indicate you acceptance on the terms laid out with respect to putting a hold on a puppy

Thanks for taking the time to fill out this application. Once approved we will require a $500 deposit to secure a puppy.
The fee for a Rock’NRolla poodle puppy is $2,800 U.S. Funds, and the remaining amount is due upon pick up in cash. Deposit payments should be made out to Oksana Fagenboym by check, Zelle, Pay Pal or money order (ask for details). Once your deposit is received, your selection position is based on the order of deposits received. Should you not be able to visit us in person, we will continue to update pictures and video to help you make your choice.
We do not make decision until the puppies are 8 weeks old and we can determine who the “picks” of the litter are that will stay with us. If we are unable to fulfill your choice, we will return your deposit or transfer to a next litter if you want. However, if you simply choose for whatever reason to not purchase a puppy, the Deposit becomes non-refundable.
As a Buyer, you aware that Rock’NRolla PUPPIES ARE SOLDS ON AKC NON-BREEDING AGREEMENT, which means no offspring can be registered to them, and the AKC registration paper will be provided to you in exchange to proof of Spay/Neuter your puppy.
Sincerely,

Oksana Fagenboym
Pinole, CA, 94583
Phone: 510-612-3231
Email: rocknrollapoodles@gmail.com