Breeder Application

Earthstone Poodle

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Breeder Application

Puppy Application for Breeders

* Indicates required field

Name *

First

Last

Phone Number *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

What size poodle are you looking for? *

Mini Medium/Moyen Standard

Are you interested in a male or female *

Male Female No Preference

What color/colors are you interested in? Check all that apply... *

Black/Blue/Silver Brown/Cafe/Silver-Beige Red/Apricot/Cream Sable Black/Blue/Silver Phantom Brown/Cafe/Silver-Beige Phantom Black/Blue/Silver Brindle Black/Blue/Silver Parti Brown/Cafe/Silver-Beige Parti Phantom- Parti (Tri)

Where are your dogs housed? Outdoor Kennels, In-Home, Guardian Homes, etc? Please be very specific. *

What additional activities are your dogs involved with? *

Showing (Work Titling) Showing (Confirmation) Service Work

Do you have a fenced-in backyard? *

Yes No

Do you rent or own your home? *

Rent Own Other

How many dogs do you own? Please list names, breed, and ages. *

How many litters do you produce a year? *

What is the name of your kennel? Please provide both FB page name and website information. *

Do you have plans to place this puppy in a guardian home? *

Please list all the members of your household, their relation to you, and their ages. *

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000

Do you work: *

Full-time, at home Full-time, outside the home Part-time, at home Part-time, outside the home Stay-at-home Parent Retired

How soon are you looking to get a puppy? *

As soon as possible Within the next 3 months Within the next 6 months Within the next year

Have you owned a dog that required regular grooming before? *

Yes No

Poodles require grooming approx. every 6-8 weeks. This can cost $60-$90 . Are you aware of and committed to this necessary expense? *

Yes No

Please provide us with 1 reference who is NOT related to you. Name and Phone Number please. *

Please provide us with your vet's name and phone number. You will need to contact them and give them permission to talk to us. *

I have reviewed the Deposit Policy (Yes/No) *

I understand that there is no guarantee of litter size, or gender produced, but I retain the option to pass and wait for the next available puppy of my preferred color or gender. *

Thank you for taking the time to fill out our Puppy Application! If you have specifics you'd like to detail here, please do. If you have questions you'd like to ask, feel free to write them here or email us at earthstonepoodle@gmail.com. *

Submit

Home
About Us
Sizing
Our Dogs
- Onyx
- Ky
- Ori
- Zuri
Planned Litters
Litters
Pet Application
Breeder Application
Pricing
Guardian Homes