Puppy Application

Puppy Application

Name: *
Address: *
Phone: *
E-mail Address: *
Any other adults in the household? *	Yes No
Are there any children in the family? If so, how many and their ages? *
Please list any other pets in your household: *
Name of puppy you're interested in (if applicable):
What color puppy are you interested in? *
Do prefer a male or female? *
Do you live in a house or apartment? *
If you rent, does the landlord allow dogs? If you don't rent, please type NA. *
Do you have adequate space for the puppy to run outside and exercise in a safe area? *	Yes No
Is your yard fenced? *	Yes No
Do you plan to spay/neuter your puppy? *	Yes No
Do you understand the care and grooming requirements associated with a Cocker Spaniel? *	Yes No
Do you intend to breed, show, or obedience train this puppy? *
Please provide your veterinarian's name, address, and phone number.
How many hours during the day would the puppy be left alone? *
Are you aware of the cost involved in owning a dog (for example, veterinary care, including spaying and neutering, purchasing a good quality dog food, boarding the dog when you are away? *	Yes No
Do you agree that if you are no longer able to keep the dog that you will notify us first, so we will either take the dog back or assist you in finding an alternative suitable home? *	Yes No
Are you aware that you are taking on the responsibility of another living creature, who will for the rest of its life be dependent upon you? *	Yes No
How did you learn about our puppies? *
Any other information that you feel is important in helping us determine the best match for you and your family?