Puppy Application

Name(*)

Please let us know your name.

Address(*)

Please provide your address

City(*)

Please provide your City

State(*)

Please provide the State

Zip(*)

Please provide a valid Zip Code

Your Email(*)

Please provide your valid Email Address

Home/Work Phone(*)

Please provide your Home or Work Phone

Mobile Phone

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Why do you want a Cavalier King Charles Spaniel(*)

Please provide a response

Have you owned any dog, any purebred, a cavalier?(*)

Yes

No

Please Indicate Yes or No

Please elaborate and from whom and when

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Do you plan to take your puppy to puppy classes?(*)

Yes

No

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Where will you take your Puppy Class(*)

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Do you have a fenced yard?(*)

Yes

No

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Doggy Door

Currently have one

Would like more information

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Please describe the sized of the fenced area, the height, ground cover etc.(*)

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How will you handle vacations?(*)

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Who is responsible for:

Daily Care of your dog

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Exercise?

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Grooming?

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Clean up?

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Training?

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Have you selected a Veterinarian

Yes

No

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Clinic Name

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Clinic Phone

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Name of Veterinarian

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Clinic Address

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Do you belong to any dog clubs or activities?

Yes

No

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Are you interested In Clubs or Activities

Yes

No

Please answer Yes or No

Please identify the dog clubs or activities that you are part of

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What type of temperment and energy level would fit with your family

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How did you hear about us?

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Upload Images

Three images are required as indicated by the (*) tag on the item. Please be sure to select and specify at least these three. The other upload items are optional. Thanks!

Upload a picture of you and your family(*)