Name *

Phone *

E-mail Address: *

Address *

Please tell us a little about yourselves.(Family size, names and ages of children & their personality type *

Name of Veterinarian *

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 and will require a spay/neuter agreement. 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? *

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? *

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. *

Identity of puppy/litter

Name choice for a puppy *

Time frame for getting a puppy

Are you interested in having your puppy or adult get trained to be a therapy dog so you can be a "Therapy Dog Team" in our "sharing Puppy Love" non profit program?

Please plan time when you can spend the first few days at home all day with new puppy. This helps ease the separation from mom and siblings and ensures bonding. They need consistency and quiet routines. *

Balance is due prior to the transfer of puppy. Pay cash or if wanting to pay by check make check to "Merle Tucker" allow 2 weeks for check to clear. *

Electronic Signature & Date: *

* Deposit to have us hold a puppy is non-fundable but may be applied to another. *

* Required