Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Which Puppy, Adult, Or Upcoming Litter Are You Applying For?
Gender Preference
*
Male
Female
No Preference
Type Of Residence
*
Single Family Home
Town Home
Apartment/Condo
Mobile Home
Farm
Do You Rent Or Own?
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Rent
Own
If You Rent: Do You Have Permission From Your Landlord To Own A Dog? Are There Any Pet Restrictions In Your Rental Agreement Or Complex?
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Do You Have A Fenced In Yard?
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Yes
No
If You Do Not Have A Fenced In Yard, Please Explain How You Will Provide Adequate Exercise For Your Pom
Have You Owned A Pomeranian Before?
Yes
No
Have You Researched Pomeranians, Their Needs, Proper Puppy Care, And Training?
Yes
No
How Many Adults And Children Are There In Your Family? Kindly Provide A List Of The Ages For Children Who Are Under 18 Years Old
*
List All Current Pets, Age, Gender, Species, Breed, And If Spayed/Neutered
*
Do You Or Anyone In Your Household Have Pet Allergies? If Yes, Are They Being Treated?
*
Are You Familiar With Pomeranian Grooming Needs? Do You Have A Groomer, Or How Do You Plan To Maintain Their Coat If Not?
*
Are You Aware That Owning A Dog Is A Significant And Long-Term Commitment, With Lifespans Typically Ranging From 12 To 15 Years?
*
Yes
No
Have You Ever Re-Homed A Dog? If Yes, Please Explain
*
Approximately How Many Hours Per Day Will Your Puppy Be Alone, And Where Will They Stay?
*
Do You Understand We Will Not Place A Puppy Without A Signed Contract?
*
Yes
No
Do You Understand We Have A Strict Spay/Neuter Contract, And Proof Is Required Prior To 8 Months Of Age Unless We Have Granted Full AKC?
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Yes
No
Full AKC Previously Discussed & Approved
Do You Understand We Have A Strict Re-Homing Clause, And We Require Any Puppy That Needs To Be Re-homed For Any Reason To Be Returned To Us?
*
Yes
No
Are You Prepared For The Ongoing Financial Responsibility Of Owning A Dog?
*
Yes
No
Do You Understand We Maintain A Small, High-Quality Program, And Our Puppies Typically Range From $2,000 To $4,000?
*
Yes
No
Are You Prepared To Finalize Payment By The Time Your Puppy Is 7 Weeks Of Age?
*
Yes
No
Do You Understand We Can Give Our Best Estimate But Can Not Guarantee Adult Weight, Size, Coat, Color, Or Quality?
*
Yes
No
We Offer Shipping In The US And Canada. Will You Be Picking Your Puppy Up, Or Do You Need Your Puppy Delivered? Please List Your Nearest Major Airport For Delivery
*
Veterinarian Reference
*
Preferred Contact Method
*
Email
Text
Phone Call
Comments