Summer/ Fall 2023 Ava x Banjo Litter Standard Poodle Puppies
  • Thank you for your interest in Derby Family Poodle puppies.
  • We look forward to reviewing your application to see if we are a good fit for each other as a breeder and new puppy family. We realize this application is extensive, however it helps us to choose appropriate and forever homes for our pups. Thank you for taking the time to share about yourselves, your family and your home. ~The Derby Family
  • If you need assistance in completing this form, please reach out via email: DerbyFamilyPoodle@Gmail.com    *This form should take 10 minutes +/- if you have the needed information available.
  • When you submit the form information will pop up about the three possible responses we will send within 48 hours of reviewing your form. Please make sure to read this.
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Email *
Full Legal Name of Primary Applicant/ Care Taker for puppy *
PRIMARY Caretaker's Phone Number - Format (###)###-#### *
Primary Caretaker's Email *
Will any other ADULT help care for the puppy?  *If so, please provide the FULL NAME of the SECONDARY Caretaker.
Address Puppy will live at with you (*If this changes before your puppy pick day ~Approximately when puppy is 7 weeks old~ please let us know, otherwise this is the address we will use on paperwork.) *
Is this a home, apartment, town home, farm or other?
*Do you OWN or RENT/LEASE? *IF YOU ARE RENTING/LEASING please elaborate to let us know if you have specific permission from the owner for this breed and predicted weight. *
Do you have a fenced in yard/ area?  *If so, how high?  *If not, how do you plan to exercise your puppy daily? *
Will your puppy be an inside or outside dog? Standard Poodles are VERY people/ family oriented and need to be inside except when exercising or for short periods.  
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PRIMARY Caretaker's Occupation & typical work hours (Exact hours are not necessary. Ie. 40 hours weekly, rotating 12 hour shifts, 12 hours on 24 hours off, etc.) *
How many people live in your home besides the Primary (& Secondary) Care Taker(s)?  *Please list first names and ages of youth and names/ relationships of adults. (We will only use their names to reference as we talk about the puppy and your family together.)
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Have you or anyone in the puppy’s future household ever been arrested, charged or convicted of animal cruelty or animal hoarding? If yes, explain.
 *
How did you hear about Derby Family Poodle?  *Example: Friend or Family (please enter their name so we can make a connection), Facebook (what page?), AKC Marketplace, GoodDog, etc. *
Why are you interested in getting a new puppy? *Why specifically a Standard Poodle?
 *
What would you like to do with your dog when they are age appropriate?
Family Companion
Service Dog (task trained to serve you or someone in your family who has a medical condition)
Therapy Dog (Ex. get certified to take to hospitals, schools, nursing homes, etc.)
Emotional Support Dog (Ex. not task trained, but gives emotional support)
Taking puppy to work for pleasure
Youth Obedience (Ex. 4H)
Sport Type Events (Ex. Agility, FlyBall, Dock Diving, FastCAT, Hunting Trials...)
Breeding *Puppies come with a NO BREEDING Contract & LIMITED registration unless discussed/approved ahead of time & pending a breeding quality puppy is born
Yes
Maybe
What activities or lifestyle do you want to share with your dog? (Example: Are you avid campers and wish to take your puppy with you? Do you kayak? Hunt? Attend horse shows and will bring your puppy in your RV? Retired and enjoy snuggling on the couch watching movies?...)
 *
Is this your first dog as an adult? *
Is this your first time raising a puppy as an adult? *
Do you have other animals in your home?  *If yes, please tell us what type and how many. *
What veterinarian will you be using? ~Name and Website please~ *If you do not have a vet yet, please secure one and make an appointment as soon as possible.  *We require a visit with your vet within 3 business days of taking your puppy home to keep your contract/ health guarantee.
 *
Are all adults in the home in agreement to purchase a puppy?
 *
How and where will the puppy spend most of its time? when you aren't home? (Example: Puppy will be in their crate 8am - 1pm when I work. After that puppy will be loose with me in the house. Thursdays and Fridays puppy will go to doggy daycare, once fully vaccinated. On the weekends we are usually on the go, and will bring the puppy to most places we visit.) *
How many hours will the puppy usually be left alone each day?
 *
How will the puppy be trained? (Ex. Ourselves, Professional 1 on 1 or Board/Train, Puppy Classes...)
 *
Puppies will begin crate training here over the course of several weeks. Are you able to continue crate training/ will you use it with your puppy? (We will give guidance on this if you'd like.)
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From Above^:  *If no, please explain what you will use to contain your puppy when you are unable to be with them.
Puppy Preference Gender *
Required
Puppy Preference Colors (We are expecting possible cream, apricot, red, abstract and parti puppies this fall 2023 litter.)
*Please understand that color is an act of nature. Even though Dam and Sire have been color tested nature is always in control. Shades of red tend to change overtime in poodles. *
Captionless Image
Are you able to travel to Fuquay Varina to pick up your puppy?  Puppies will go home between 8 - 9 weeks of age.  *This litter will go home approximately 10/20 - 10/29/2023. *There will be additional fees associated with puppy transportation assistance, or if puppies stay beyond 9 weeks.  We are happy to discuss options if your application is approved. *
Do you agree to contact us in the case that you need to re-home this puppy for whatever reason?   *Getting a puppy is a lifelong commitment. Standard Poodles have an average life expectancy of 12+ years. We are always available to assist if you need to rehome your puppy, but certainly prefer that you will be their forever family.
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Do you agree to give us follow-up reports and photos from time to time?  We enjoy hearing about/ seeing our puppies as they grow up.
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Please list 1 - 2 references including their name, email, and phone number. 1 should be someone who knows of your experience/ interactions with animals. (Ie. groomer, vet, neighbor you dog sit for, etc.) * Please let your reference(s) know that we may be contacting them regarding your future with a puppy.
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Do you have any questions or additional comments for us? *
Please check the following that you have read and completed the application truthfully and to the best of your ability. 
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Please enter your full Legal name below as verification that all of the above information is complete and accurate. 

*If approved and anything should change prior to the puppy pick up day, you agree to contact Derby Family Poodle to let them know. 

*You acknowledge that you will be held liable and legally responsible for everything stated in this application should it be found that you purposefully mislead Derby Family Poodle with the intent to obtain a puppy in a fraudulent manner.
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