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Hopeland Cavaliers Questionnaire

Name:   
Street Address, City, State and Zip:

E-Mail Address:
Phone Number: 

I am interested in:
  Specific information about purchasing a puppy from Hopeland Cavaliers
  Information on Cavalier Clubs

Primarily I am interested in:
Puppies
Young Adults
Older Adults

Male
Female

Blenheim
Tri
Ruby
Black & Tan

I am looking for a:
Pet
Compete in Obedience
Show in Conformation

My family consists of: (members & ages)

I live in a:
House
Apartment

Is your yard fenced?
Yes
No

If No, how do you plan to protect your Cavalier when outside and when relieving itself? ( I do not recommend underground electric fences, because it will not prevent other animals or larger dogs from entering your yard)
 

What other pets do you own and how do you think they will interact with a new addition?

Will the dog be left home during the day?

How many hours at a time?

Why do you think a cavalier is the dog for you?

Who is the dog primarily intended for?

Are you aware of the Mitral Valve Disease that exists in Cavaliers?
Yes
No

What will you do with your Cavalier when on Vacation?

Do you understand and have the time to give your Cavalier the attention that it requires?
Yes
No

Any specific comments or concerns that you might have?

Please give the name and phone number of your Veterinarian that you will be using:

Character references, name and phone number that I may contact:

Thank you for completing this questionnaire!!
You will be returned to our homepage once submitted.

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