Please complete this form and submit
Please do not use the back button when filling out the form.
Your Name:
Address:
City:
Province/State:
Zip:
Telephone:
Email:
Occupation:

When and how did you become acquainted with the Clumber Spaniel?


What characteristics do you seek in a Clumber Spaniel?


Have you ever owned a dog? When? What happened to the dog?


Do you have pets now? Type? Owned for how long?
If not, have you ever had a pet/pets? What happened to them?


Who lives in your household?
If more than one adult, do you both work outside the home?
Hours(each)? How many children live at home? Ages?
Do you anticipate the individuals in your household to change in numbers?


Who will be responsible for the care of the Clumber?


Do you rent? Own? House? Apartment?


Are you anticipating a move? Where? When?


Do you have a yard? Size? Fenced? Fencing Type and height?


Will the dog be housed inside or outside? Please elaborate.


How will the dog be housed/confined in your absence?


Who will care for the dog when you are away from home for extended periods or on vacation?


Your puppy will require housetraining, training to keep him off furniture and from jumping up, socialization and training classes, daily exercise, and weekly grooming. During the first several months, it will be much like having a new baby in the way it disrupts your life. Do you understand the time and energy that will be required to get a Clumber Spaniel puppy through its first year? What types of things will you be doing to achieve this task?
Please elaborate.


Do all family members want a dog?
Yes
No

Will you promise to attend an obedience class and puppy socialization classes with your Clumber?
Yes
No

Do you want a male or female puppy?
Male
Female

Would you consider the opposite sex?
Yes
No

Do you wish to show your dog?
Yes
No

Do you wish to breed your dog?
Yes
No

Would you consider a co-ownership?
Yes
No

If a non-breeding animal - will you spay or neuter?
Yes
No

Would you have hips evaluated at 2 years for OFA possibility?
Yes
No

Would you have eyes checked for CERF certification?
Yes
No

Would you have any interest in grown dogs between the ages of 1 - 4 years if one were to become available?
Yes
No

In placing dogs with buyers. I consider the agreement a pact between the parties to secure the dog's welfare for its lifetime. In this agreement, I offer lifetime refuge for any dog I produce which the buyer cannot keep. Will you promise to return the dog to me should some unforeseen circumstance prevent you from keeping the dog any longer with little or no monetary refund?
Yes
No
Paula
 
 
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