Whiteriver Cavaliers

Date ___________________
How did you hear about Whiteriver Cavaliers? ______________________________________________
Your name _________________________________________________
Your address________________________________________________________________________________
Phone (home) _____________________ Cell _______________________
Email address ___________________________________________________
Please list names and ages of family members living in the home __________________________________________________________
_______________________________________________________________________________________________________________________
Type of dwelling: House___ Condo___ Apartment___

Do you rent your current dwelling? _________________
If you rent, are dogs allowed? __________________
Do you have a fenced in yard?  If so, what type of fence? ______________________________________________________________
Do you have any pets at home? If so, what type and how many? __________________________________________________________ _______________________________________________________________________________________________________________________
Have you ever owned a dog before? ___________________
If you have other dogs, what is the breed and age? _______________________________________________________________________ _______________________________________________________________________________________________________________________
What is the sex of your dog(s), and are they spayed/neutered? ___________________________________________________________
What age were they spayed/neutered? ___________________________

Are you opposed to delaying your puppies spay or neuter? ____________________
Do you have a Veterinarian?  If so how long have you had your Veterinarian?____________________________________________
Veterinarian's name _____________________________________________
Veterinarian's address _____________________________________________
Veterinarian's phone number _____________________________
Do we have your permission to contact your Veterinarian? ___________________
Are you interested in a female? _____ Or male? _____
Color preference ________________________________
Do you have a second choice? ________________________________
Where will the puppy be kept during the day? And for how long? _________________________________________________________
Where will the puppy be kept during the night? _________________________________________________________________________
How many hours will the puppy be left alone? ______________________________________
What brand/type of food will you feed the puppy? ______________________________________________________________________
Are you open to some raw feeding or home cooking for your puppy? _____________________________
Who will be responsible for the puppy’s care and Veterinarian bills? _______________________________________________________

Are you open to doing titers on your puppy vs. just re-vaccinating them after they are a year old? ___________________________
Have you ever had to give up a dog, if so what were the circumstances?__________________________________________________
______________________________________________________________________________________________________________________
Is anyone in your home allergic to dogs? _________________________
Have you done your research on Cavaliers and their health issues? _______________________
Do you understand this Cavalier is sold on a limited registration and you will be required to spay/neuter at an appropriate age? ________________________