Puppy Application - FleurishNLife

Name *

First

Last

Spouse's Name *

First

Last

Email *

Phone *

Address *

Street Address, House/Apartment/Unit#

Address (cont.) *

City, State, Zip Code

Have you ever owned a Cavalier King Charles Spaniel? *

Yes
No

If Yes, Explain:

Are dogs allowed on your furniture? *

Yes
No

Do you have a fenced yard? (this does not disqualify you but is highly recommended) *

Yes
No

If not, explain:

Do you have any children? *

Yes
No

If yes, how many and what are their ages?

Do you have other animals (dogs, cats, birds, reptiles, other) in your household? *

Yes
No

If yes, what kind of animals do you have, their ages, how do they get along with others? *

Where will your Cavalier Puppy sleep? *

What is your color preferences in cavalier? *

What is your puppy sex preference? *

Male
Female
Either

Tell us about your typical day and where the Cavalier will spend his daytime, evenings, nights and weekends. Please include your family's typical schedule: *

What are some goals you would like us to help you consider? *

How did you hear about us? *

If Referral, from: *