BREEDER NOTIFICATION FORM

Date:_____________

Dear_____________

A Poodle of your breeding has recently come to the attention of the rescue group, and is in need of a new home. Since we have found that ethical, reputable breeders maintain an ongoing interest in animals of their breeding, we would like to give you an opportunity to help us help this dog.

Please complete the bottom of this form and return it to the address below within seven days so we can continue to serve the Poodles, their owners and friends.
Thank you,



Mail Reply to: (Address of rescue chair or person)



------------------------------------------------------------------------------
Dog's name:__________________________ Age:________ Sex:____________
Sire:
Dam:
Date of Birth:
Last Known Owner:
Reason for Rescue's attention:
[ ] Owner can no longer keep dog
[ ] Owner has abandoned dog
[ ] Owner has surrendered dog to Pound or Shelter
Reason:
[ ] Dog has health problems requiring care
(vet evaluation attached)
[ ] Other
==============================================================================
BREEDER'S REPLY

[ ] Please return dog to me at my expense.
[ ] I cannot take the dog, but will support it until a new home is found.
Enclosed is a deposit for expenses $__________________
[ ] I cannot support this dog while boarded, but here is a donation for its
care $____________________________________________
[ ] I am not interested

Breeder's name:_____________________________________

Address:_______________________________________________

______________________________________________________

Phone:_______________________________

__________________________________________
Signature

cc: Rescue File
President of Affiliate Club Council, PCA
Poodle Club of America Rescue Central Chairperson