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