Puppy Interest Form

First, please check out Pup-preliminaries.  Then, please submit this form.
Thank you very much for your interest!
 

About you:

 Name
Address
City
State
Zip
Day Phone
Eve Phone
Cell Phone
Email

Enter the number 17 in this field (to exclude bots and spammers) 

Your occupation: 

Your age: 

Number of adults in your household: 

Number of children in your household (include visitation, day care): 

Age of youngest child: 

Please describe your living situation, checking all that apply:

House                                                                                          
Apartment
Condo/townhouse
Suburban
Urban
Rural
Own
Rent
Fenced yard
Unfenced yard
Private yard
Complex yard
No yard -- I'll be walking!

Where will you exercise the dog? 

How many hours per day will the dog be left alone? 

If the dog will be alone for 6 hours or more, will he be let out midday? 

Where will the dog be when nobody is home? 

If you live near a dog park that you intend to use, please describe it:

Do you have any dogs now? 

If so, please list their breeds, genders and ages: 

 

What other pets do you currently own? 

What characteristics do you dislike most in dogs?


Will you take this dog to obedience classes? 

Why do you want an English Cocker (rather than another breed)?


If you have had an English Cocker before, from whom did you purchase him/her?


Are you looking for a puppy now?


Describe your ideal dog's personality -- what traits do you value and want the most?


What gender do you prefer? 

Would you consider either gender, if your preference is not available? 

Please indicate what colors you will accept:


Blue Roan

 


Blue Roan and Tan

 


Orange Roan

 


Black and White

 


Orange and White

 


Black, White and Tan (tri)

 

All colors are OK -- no preference    

Have you ever housebroken a puppy? 

What is your primary reason for wanting a dog? 

If you have a veterinarian now, please give his or her contact information:

Name
Clinic / Hospital
Street Address
City
State
Zip
Phone
Email

Please tell us anything else we should know about you or your search for an English Cocker.

To inquire about availability of puppies for show and as excellent pets, email Cliffwalk English Cocker Spaniels.

2006, Grace Wilkinson