Puppy  Application
Counter
* Required Field
*Your name:
* Email:
* Street
Address
* City,
State,Zip
Code
* Phone
Number
I would like to know what type of lifestyle
he/she will have.   Do you live in the city,
suburbs, or country?
What are you looking for as to color and
gender?  
male   or   female

r/w = red/white
b/w= black/white
tri= black/white/tan points
br/w= brown/white
br-tri= brown/white/tan points
How many family members are in your
household? Ages range from ___ to ___.  Is
there a stay at home person?
Are you aware of that the American Cocker
Spaniel requires grooming every 5-7 weeks and
brushed at least every few days
Do you have other pets, If not is this your first
pet?
Can you provide references from your vet and
or personal references?
NOTE: After review of your application and  
interview I will contact your references.
If you have other pets do you travel or
vacation with them, If NOT who cares for them
while you are gone away?
Are you looking for a companion or show
prospect?  If, a companion this puppy will be
sold with a  spayed/neuter agreement.
Do you  have any questions or comments?