Name: * E-mail Address: * Address: * City: * State: * Zip: * Phone: * Name of Veterinarian: * Please tell us a little about yourselves.(Family size, names and ages of children & their personality type: * Other pets: Your type of work and schedule: * Will puppy be left alone? * Size of your house and yard: * Type of fencing: * Reason for wanting a Cavalier: * Show/breeding potential or pet: (Pets have restriction from breeding pedigree and papers will be held until we receive documentation of spay/neuter. We do not put show demands on show potential and they are gladly placed into homes.) * Color Preferences in order: * Sex preference and reason: * Where will your Cavalier sleep at night?: * Where will he spend his days?: * Will you feed a quality diet and pamper him?: * Will you maintain veterinary care and good grooming & dental care?: * Will you keep in contact with us on training issues, keep us posted on puppies growth and send occasional photos throughout the dogs life?: * In case of veterinary emergency, are you willing and able to spend what is needed to provide him with proper care? (VIP pet insurance highly recommended): * In the event that you are not able to keep your dog, will you notify us to help you find another loving home for him?: * Are you prepared for a lifetime commitment to care for you Cavalier?: * Will you use kindness and patience in training, housebreaking and chewing stages?: * Will you love him and have patience with him when he is old and feeble?: * Will you return his unconditional love?: * Your application will be reviewed and your name will be added to our waiting list in order of deposit receipt. Your $500 deposit will reserve for you the next available puppy of mutual choice. It will be applied to purchase price. * Understood Identity of puppy/litter: Name choice for a puppy: Time frame for getting a puppy: Please plan a time when you can spend the first few days at home all day with him. This helps ease the separation from mom and siblings and ensures bonding. Family vacations, moves and events or celebrations should be completed prior to arrival of new puppy. They need consistency and quiet routines * Understood Deposit of: Received on : Balance of: (Personal checks are fine for deposit----Please make check out to (Merle Tucker). Balance is due prior to transfer of puppy. If using personal check from out of state, it takes 2 weeks to clear. * Understood Electronic Signature & Date: * * Required