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Which puppy/dog are you interested in?

Your Name:  

Email address that we can contact you at? 


How long have you lived at this address?

Phone (home) & (cell):

Are you interested in a male or female Pomeranian?

How much did you have in mind to spend on your new Pom adoption?                                

Have you ever owned a dog before? 

Do you intend to breed this Pomeranian?

We will be asking questions to get to know you .  Do you have any questions for us?

What reference materials have you read?

How did you hear about this breed?

How many dogs do you own including indoor and outdoor?  

Do you have any other pets? 

What do you expect the activity level of this breed to be?
  below average

Type of dwelling: 
  mobile home

If you rent have you talked to your landlord about getting a Pomeranian?

Name, address and phone number of the veterinarian that will take care of your Pomeranian:

Who will be the person/persons taking care of the Pomeranian?

How old is the person that will be caring for this Pomeranian?

What kind of floor surfaces will the dog be on in the house?

How will your dog be confined when it is outside?

Do you have a fenced yard?

How many hours a day will the Pomeranian be kept outside? 

Where will your Pomeranian be kept during the night?

Where will the Pomeranian be kept during the day?

Is anyone home during the day?  

How many hours on the average will the Pomeranian be left alone? 

Will there be someone available to feed and exercise the Pomeranian during the day?  

We will be asking questions to get to know you .  Do you have any questions for us?

Have you ever house trained a puppy/dog before?

Will you be attending any training classes?

If yes, at what age will you start and who will be the trainer?

Do you have any children? If yes, what are their ages?

Does anyone in your household have allergies to animals? If yes, to what and how severe?

How long did your last pet live? What were the circumstances of it’s death?

Have you ever returned a pet to the breeder? If so, what were the circumstances?

Have you ever taken a pet to a pound or shelter? If so, what were the circumstances?

Have you ever given a pet away? If so, what were the circumstances?

Are you willing to write yearly to the seller of this Pomeranian about the health of said Pomeranian?

Are you willing to send a yearly photo of this Pomeranian to the seller? 

Will you send to the seller a new address upon moving or your new email if changed? 

Are you aware of the health issues that are common in the Pomeranian Breed?  

Are you familiar with luxating Patella’s? (Loose Knee Caps) 

Referred by:

Thanks for taking the time for me to get to know you.  I will contact you within 48 hours in reguard to the puppy/dog you have choosen. 
Click on the picture to submit your answers.  

Thank you