Maine Poodle Rescue

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Adoption and Foster Application

First Name: *

Last Name: *

Address: *

Address 2:

City: *

State: *

Zip Code: *

Email: *

Phone Number: *

Is there a particular dog you are interested in?

Do you want to Foster or Adopt? *

Have you ever had a dog before? *

Have you ever had a poodle before? *

Do you have a fenced in yard? *

Do you rent or own? *

Rental Owners Info:

Name:

Address:

City

State:

Zip Code:

Phone Number:

Do all the members of your house work outside the home? *

How many hours are you away from home during the day? *

Vet Info:

Name:

Address:

City:

State:

Zip Code:

Phone:

How many pets do you currently have? *

if so, please list what type of pet, their names and ages:

Do you have children? *

If so, what are their names and ages

Please List Two References:

Reference One:

Name: *

Address: *

City *

State: *

Zip Code: *

Phone Number: *

Reference Two:

Name: *

Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Available Poodles

Annie - Adopted December
12/24/2010

Roxie - Adopted June
06/14/2011

Lucca - Adopted June 2011
06/15/2011

Cooper - Adopted June 2010
06/06/2010