Here you can complete our puppy application form below

We do not sell our Pomeranians to large kennels, brokers and puppy mills. I sell my pups with a strict neuter/spay contract, full CKC registration is only available to approved show homes only.

This Application is for the sole purpose of the health and happiness of our puppies. Your information will be destroyed if we decline or you end up not purchasing a puppy from us.

Puppy Application

Full Name *

Address

Apt, suite, etc.

Country

City

State

Zip code

Your Age *

Occupation *

How long at this address *

Daytime Phone *

Best time to call *

Your Email *

Your Facebook or Instagram Page

How many adults are there in your family (their relationship to you)? *

How many children (ages)? *

What type of home do you live in single family, town home, apartment, farm, etc.? *

Please describe your household *

Active

Noisy

Quiet

Average

Does anyone in the family have a known allergy to dogs? *

Yes

Is everyone in agreement with the decision to adopt a dog? *

Yes

Why are you interested in a Pomeranian *

What color do you prefer ? *

Are you looking for a Female or Male *

Are you purchasing a Pom for companionship, obedience, agility, showing, breeding, reselling or other? Please specify *

Do you have time to provide adequate love and attention? *

Yes

What other pets do you have (specify type and number)? *

Are these pets up to date on vaccines? *

Are these pets spayed/neutered? If not why? *

Have you ever surrendered a pet? If so, why? *

Have you ever had a pet euthanized? If so, why? *

Have you ever lost a pet to an accident? *

How do you discipline your pets and why? *

Do you have a regular veterinarian?

Yes

Veterinarian has being authorized to release information?

Yes

Veterinarian’s name *

Clinic Name *

Clinic Address:

Apt, suite, etc.

Country

City

State

Zip code

Clinic Phone *

Would you keep in contact we Lion D'or Poms once you have purchase your puppy? *

Where will the dog spend the day? (describe) *

Where will the dog spend the night? (describe) *

Number of hours (average) dog will spend alone? *

Do you or any other family member smoke in your home? *

Who will have primary responsibility for this dog's daily care? *

Who will have financial responsibility for this dog? *

Do you agree to provide regular health care by a Licensed Veterinarian? *

Yes

Do you agree to keep the dog as an indoor dog? *

Yes

When the dog goes out, how do you plan to supervise it? Fenced yard? *

Puppies need to be spayed or neutered by 6 months of age *

Yes I Agree

No I Don't Agree

If for any reason should things not work out, do you agree to return the purchased pom to Lion Dor Pomeranians and NOT PLACE THIS DOG ON YOUR OWN? *

Relationship (relative, neighbour, friend, etc.): *

Name

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Relationship (relative, neighbour, friend, etc.): *

Name *

Address

Apt, suite, etc.

Country

City

State

Zip code

Phone *

Info

All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

Find the best match

As mentioned above, the main purpose of this application is to assist us to find the best match and the best forever home for our puppies.

Date *