Application

PLEASE FILL OUT THIS FORM AS DETAILED AS POSSIBLE. BREEDERS ARE WELCOME.

First Name

Last Name

Street Address

City

State/Province

Street Address 2

Postal/Zip Code

Phone

Occupation?

Are there other people living in the home?

Are there other pets in the home? What kind, breed and age?

Do you own or rent your home?

Do you have children living at home? If so, what age?

Are your current pets spayed or neutered?

Why have you chosen the Pomeranian breed?

Do you know anything about Hypoglycemia in toy breed puppies?

Are you interested in a pet or are you a breeder?

Do you have a preference on a male or female?

How will you train your puppy?

Have you owned a toy breed puppy before?

Have you researched this breed to ensure it is a good fit for your lifestyle?

Ideal time frame to bring home a new puppy:

How many hours will the puppy be left home alone per day?

Will the puppy be an inside or outside dog?

Current Veterinarian Information

If you have a preference for a specific puppy please state below.

Is there anything else you'd like to add?