Online Puppy Application

Artep Poodle and SeeMarNan Cockers Reg'd'
Online Puppy Application

PLEASE READ INSTRUCTIONS CAREFULLY-THANKYOU !!!

This application is your first step at possibly becoming the home of one of our precious new puppies (or placeable adults, if one is available). Owing to scammers, it is best to send us a quick email to let us know that youfilled out the application, that way we can expect to hear from you soon.It's so easy to do a Copy & Paste of this form paste as a new message in your email- then you will need to fill the form in and email it back to us:OR Do a download of the puppy form and remember to fill it in ---Then Email it back to us at- blossommillerlight@msn.com That way we can put you on our waiting list as there have been instances where applications have mistakenly gone missing over the net.
By filling out the following application, it neither entitles you to a Artep Poodle or SeeMarNan Cocker puppy, nor is it a commitment on your part to accept a Artep or SeeMarNan puppy. Thank you in advance for your interest.

Unfortunately with the age of computers it leaves one open to potential scammers that can contact us. We also need to ensure that someone enquiring is genuine and not looking to buy one of our puppies for a 'puppy mill', therefore it is necessary to have an application such as this. We appreciate that most people are genuine and generally someone with good intentions would have no problems providing us with simple information about why they want a puppy, their particular preferences and maybe their experiences so far as a responsible owner. PLEASE NOTE::Applicants must be 21 years or older Please allow 72 hours to process

Name *

First Name Last Name

Spouse's Name

Spouse's First Name Spouse's Last Name

Occupation *

Spouse's Occupation

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

- Area Code Phone Number

E-mail *

Main Applicant:

Do you work?: (Full Time? or Part Time? list: Employer Name & Address, Hours, Times, Phone Number etc-) *

Co- Applicant:

Do you work?: (Full Time? or Part Time? list: Employer Name & Address, Hours, Times, Phone Number etc-) *

How did you hear about us? *

Other (If Applicable)

Do you want a Poodle or Cocker?

Male or Female?

Full Register or Limited Register?

Why did you decide to welcome a Poodle or Cocker into your home? *

Do you have, or currently plan to have children? *

In the event that you currently have children, please list their ages.

Which of the following statements best describes the general activity level of your home? *

Please describe the types of activities you (and your family) enjoy . *

Please describe your current living arrangements *

Is your home fully fenced & secure for a dog?

Are you aware that Poodles & Cockers need regular grooming & clipping?

Are you prepared to pay for regular grooming & clipping? to keep your puppy clean & matt free!

Do you currently have any other pets in your home? *

If so, please specify their species and ages

Does anyone in your household suffer from allergies due to animals? *

How many hours, in a typical day, will your puppy be left at home without your direct supervision? *

What would be the average duration of time that your puppy would be left at home without your direct supervision in a single instance? *

Do you plan to crate train this puppy? *

Do you have a gender preference for this puppy? *

Do you plan to have this puppy spayed or neutered? *

Do you plan to compete with your puppy in any of the following disciplines?

Conformation Rally Obedience Standard Competitive Obedience Agility Tracking Field/Hunt Flyball Other

If you selected the "Other" option above, please explain what other events you would like to compete with your dog in

Do you plan to have this puppy enrolled in a Puppy Socialization Class? *

Do you plan to feed this puppy "Puppy Formula" dog food? *

Which brand and formula will this puppy be fed when it comes home?

Is there anything else you would like to tell us about yourself, your family, or what you are looking for in your new addition to your family? *

Do you certify your answers are true and accurate?

Are you over the age of 21 years old?

Are you willing to sign and agree to a Spay/Neuter contract?

How were you referred to us?

Personal References 2 Required:

Personal References : (list name, phone #, relation, and how long known) *

Personal References 2 : (list name, phone #, relation, and how long known) *

By submitting this application,

I/We unequivocally state that all statements and answers given in said Application is the complete truth. Any misrepresentation of the truth in this application will invalidate any Subsequent purchase agreement and will give Artep Poodles & SeeMarNan Cockers the right to reclaim the Poodle or Cocker Spaniel without refund of the Purchase Price, or Deposit.
Please be patient as applications may take 72 hours minimum to be processed.
Signature and Date:

Co-Applicant
Signature and Date:

Date Reviewed:

Reviewed By:

References Checked?

Home Visit Complete:

Application is Approved:

Denied:

Holding:

If denied, reason?

_________________________________________________________________________________
Notified:

Deposit Paid:

PLease Send Completed Filled In Form to: Nancy Miller: blossommillerlight@msn.com

Artep Poodle and SeeMarNan Cockers Reg'd' Online Puppy Application

Artep Poodle and SeeMarNan Cockers Reg'd'
Online Puppy Application