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 agree to provide a home life for the dog (meaning the dog will not live outside)?
*
Yes
No
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?
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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 and 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 it's life be dependent upon you?
*
Yes
No
How did you learn about Mully's Cocker Cottage?
*
Any other information that you feel is important in helping us determine the best match for you and your family?
*
