🐾 Heart Rocks Poms – Puppy Application

Thank you for your interest in a Heart Rocks Poms puppy. Please answer the following questions honestly and thoughtfully. There are no “right” or “wrong” answers on this application. Your responses do not automatically approve or deny you — they simply help us determine the best possible fit for both the puppy and the family.

Submitting an application does not guarantee availability or approval.

Heart Rocks Poms reserves the right to decline any application if we feel it is not the best fit for the puppy.

🐾 Heart Rocks Poms – Puppy Application
Thank you for your interest in a Heart Rocks Poms puppy. Please answer the following questions honestly and thoughtfully. Submitting an application does not guarantee availability or approval.

Please copy & paste you feel to text, email

1. 
   🧍 Applicant Information
   Full Name:
   Email Address:
   Phone Number:
   City & State:

2. 
   Best way to contact you?
   ☐ Email ☐ Text ☐ Call

3. 
   🏡 Household Information

4. 
   Who lives in your household? (Adults, children,

5. ages)
   Has everyone in your household agreed to

6. bringing a puppy home?
   ☐ Yes ☐ No

7. 
   Do you own or rent your home?
   ☐ Own ☐ Rent

8. 
   (If renting, are pets allowed?

9. ☐ Yes ☐ No)

11. 🐶 Puppy Preferences
    Are you looking for:
    ☐ A companion/pet puppy
    ☐ A future breeding prospect (approval required)
    Do you have a gender preference?
    ☐ Male ☐ Female ☐ No preference
    Do you have a color or pattern preference?
    (Please note preferences are not guaranteed)
    Are you open to a puppy outside your preference if the fit is right?
    ☐ Yes ☐ No

12. 
    🕰 Timing & Readiness
    When are you hoping to bring a puppy home?
    ☐ Immediately ☐ Within 1–3 months ☐ Flexible / Upcoming litter

13. 
    Have you owned a Pomeranian or toy breed before?
    ☐ Yes ☐ No
    If yes, please describe your experience:

14. 
    🧼 Care & Commitment
    Who will be the puppy’s primary caregiver?
    Are you prepared for:
    • Regular grooming
    • Training and socialization
    • Routine veterinary care
    • Long-term financial responsibility
    ☐ Yes ☐ No
    Where will the puppy sleep at night?

15. 
    How many hours per day will the puppy typically be alone
    💎 Understanding Our Program
    Are you aware that:
    • Deposits are non-refundable
    • Deposits are required prior to meeting or holding a puppy
    • We do not hold puppies without a deposit
    ☐ Yes ☐ No

16. 
    What draws you to Heart Rocks Poms specifically?
    (This helps us understand what you value)