Gloria's Puppy Application

First Name *Please fill the required field.

Last Name *Please fill the required field.

Your City and State *Please fill the required field.

Your Street Address *Please fill the required field.

Zip Code *Please fill the required field.

Phone *Please fill the required field.

Email *Please fill the required field.

About Your Family. Do you have any children at home?

Yes

No

Do you have any other poodles or pets?

Yes

No

Have you had poodles or pets in the past?

Yes

No

Tell Me More About Yourself (your lifestyle, family, or anything else to help me make sure you are a good fit for my pups: *Please fill the required field.

What are your goals for your puppy in the future? *Please fill the required field.

What gender do you prefer?

Male

Female

What color do you prefer?

White

Black

Gray

Are You Interested In

a Companion

or Showing

Why did you choose a standard poodle? *Please fill the required field.

What options are you interested in to get your puppy home?

Pick up in person at my home

Pick up by another person at my home

Pick up at the Lehigh Valley International airport

Are you willing to wait for a puppy if necessary? I may not have the right puppy immediately So It helps me to understand how flexible your timing is.

Yes

No

Is there anything else you want to tell me what you are looking for in a puppy? *Please fill the required field.

3 + 4 = ?

Stone Run Standard Poodles