Name:
Address:
Phone number:
Where do you live: house apartment condo other
Do you have a fenced yard? If not, how will you handle toilet duties?
How many people live in your household? If there are children, what are their ages?
Are there other pets in your household? Please describe
Have you ever owned a dog before and were you the primary caretaker of the dog?
Where will the Cavalier spend the day? loose outdoors fenced yard kennel run tied up indoors crate bathroom other (explain)
Where will the Cavalier spend the night? loose outdoors fenced yard kennel run tied up indoors crate bathroom other (explain)
On average, how many hours a day will the Cavalier be alone?
Have you owned a Cavalier before? If not, how did you learn about this breed?
What are your reasons for wanting a Cavalier?
List preferences: Male Female Color:
Are you interested in breeding?
I certify that all of the above information I have given is true and correct.
Signature:
Date: