Puppy application – Daisy Hills Cocker Spaniels

Daisy Hills Cockers puppy application

Please complete the following questions so we can determine if one of our puppies is right for your family. I will reply to all applications as soon as possible.

Thank you for your interest in one of our puppies!

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Sex preference *

Male
Female
No preference

Color preference *

Is anyone in your household allergic to dogs? *

Have you ever owned a cocker spaniel before? If so, when? Please explain. *

Do you own other dogs? If so, what kind and how old? *

How many people in your family reside in your home that will care for the puppy? Please list the ages of any children. *

Do you have a fenced yard? *

What is your family’s level of activity on a scale of 1-10? *

Will someone be able to care for the puppy during the day? *

Please explain your family plans for the puppy. Where will the puppy sleep at night and with whom? Who will play with the puppy? How will you ensure he/she gets fed a nutritional diet? *

In the unforeseen event that you are unable to keep this puppy, for whatever reason, are you willing to return this dog to the breeder? *