Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail

What are your reasons for wanting an English Cocker?

What is your area(s) of interest for your English Cocker?

Pet
Show
Field
Agility
Obedience

Are you interested in a:

Male
Female
No preference

Are you interested in a:

Puppy
Adult
No preference

If a puppy is not available, would you be interested in an adult?

Yes
No

If you are interested in an adult, what age would be preferable?

How many adults occupy your household?

How many children occupy your household?

If you have children, please list their ages.

How many hours per day will your dog be alone? Please explain.

Do you have a fenced yard?

Yes No

If you do not have a fenced yard, how do you plan to exercise your dog?

English Cockers need daily brushing and professional grooming should be done every 6-8 wks.  Do you plan to have your dog professionally groomed?

Yes
No

Puppies can get into serious trouble when left alone without the use of a crate.  A crate is also an excellent housebreaking tool.   Do you plan on crate training your dog?

Yes
No

We highly recommend a puppy kindergarten class or basic obedience class for an adult.  Do you plan on taking your dog to class?

Yes
No

Do you currently own a dog(s)?

Yes
No

Please list breed(s) and age(s).

If you have owned an English Cocker before, please tell us where it was purchased (i.e., name of breeder).

         Please list the name and phone number of your veterinarian or one that you will be using in the future?

 

 Please tell us where you heard about Daisymead English Cockers. We would like to thank them for the referral.