Lake Erie Cocker Spaniels

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The following questions are being asked of you so that the right puppy and the right placement of each puppy is made by bringing the various requirements of both the puppy and his or new owner(s) into perspective, BEFORE a choice is made. I hope you will agree that the animal's welfare must be our foremost consideration in considering a placement. Please answer the following questions as completely as you can, and return this form when you've finished.

  • Name: Date: Puppy Breed : Cocker Spaniels
  • Address:   ________________________________________________________________
  • Phone: Email:  _____________________________________________________________
  • Referred by or website: ______________________________________________________
  • Type of dwelling: house condo apartment mobile home  _____________________________
  • If renting, do you have permission from landlord to own a pet?  _______________________
  • Do you currently use a veterinarian? ____________________________________________
  • If yes Name of Vet : _________________________________________________________

  1. Where will the puppy be kept during the night? ____________________________________
  2. Where will the puppy be kept during the day?  _____________________________________
  3. Is anyone home during the day?                        _____________________________________
  4. How many hours on the average will the puppy be left alone? _________________________
  5. Will there be someone available to feed and exercise the puppy during the day? ___________
  6. Have you ever owned a dog before? _____________________________________________
  7. Do you have any other animals in the house? _______________________________________
  8. Do you have any children? If yes, what are their ages?  _______________________________
  9. Are you interested in a male or female puppy? ______________________________________
  10. At what age do you wish to get the puppy? _________________________________________
  11. How did you hear about this breed?  ______________________________________________
  12. How many hours a day will the puppy be kept outside? ________________________________
  13. Do you have a fenced yard or suitable pen?  ________________________________________
  14. How long have you lived at this address? Will you be attending any training classes? ________
  15. How long did your last pet live? What were the circumstances of its death? _______________
  16. Have you ever returned a pet to the breeder? If so, what were the circumstances? ___________
  17. Have you ever given a pet away? If so, what were the circumstances? ____________________
  18. Have you ever taken a pet to a pound or shelter? If so, what were the circumstances? ________
  19. Are you interested in showing the dog in any competitions  _____________________________
  20. Do you intend to breed the dog?  __________________________________________________
  21. Do you understand the difference between a limited registration and a full registration? _______

                                         Copy and paste to email

                                                                              or call           419-797-2279

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