This information sheet is NOT for RESCUE.  Please go back to the rescue logo to email rescue or click here.  This form is to see if WE qualify to be the breeder of your next cocker puppy. Please be sure to click the submit button on the bottom of the page. There may be an occasional problem with the forward of this application to my email. If you have not gotten a reply within four days, please send a private email. To info@hyerluv.com

Application to purchase a Cocker Spaniel
The ownership of a Cocker Spaniel, like any pet is a serious responsibility that requires a long term commitment. It is the goal of Hyer Luv's Cockers to be sure that this responsibility, as well as the financial and psychological needs of each Cocker be met in its new home.
This application has been designed to help prospective Cocker Spaniel owners address the issues that would directly affect their home and its suitability for a Cocker as well as aiding us in applicant evaluation.
If we do not have a "child" that we and you feel would suit your lifestyle, you may still fill out the form and I will try to direct you to other reputable Cocker breeders who may be able to assist you.


To send this, fill it in and click send. 

Just complete this form. Click on Submit when ready to send. Make sure your email address is correct and your references are listed.

 

Your name:

Email address:

Address:

City:

State:

Zip:

Home Phone:

Business Phone:

Occupation(s):

Employer(s):

Number of adults in household?

Number of children In household?

Please list sex and ages of children:

Who will be responsible for the care and training of the Cocker Spaniel?:

Approximately how long will your Cocker be alone each day?:

Do you live in a:

Single family home
Mobile home
Condominium
Apartment

What do you like or dislike about cocker spaniels how do you see a cocker fitting into yours and your families life?

Is your yard fenced?:

Yes
No

If yes, please describe the type of fencing, area fenced and height:

If your yard isn't fenced, would you consider fencing part or all of it as a condition of owning a Cocker?:

Yes
No

Are you willing and able to modify your daily schedule to accomodate a Cocker Spaniels needs, such as going outdoors into a fenced area or walking on a leash to perform bodily functions at least 4 times a day?:

Yes
No

Are you aware of the importance of keeping a Cocker Spaniel on a leash or in a fenced area when it goes outside?:

Yes
No

Cocker Spaniels are primarily house dogs. They can be kept outdoors for short times in a kennel or dog house with an attached run. They CANNOT be chained or tied outdoors, nor left outdoors alone for long periods unsupervised. Do you agree to these conditions?:

Yes
No

Is there a local ordinance in your area pertaining to owning/housing an animal(i.e. leash laws, required vaccinations, dog licenses, etc)?:

Yes
No

Are you willing to keep a collar with a tag bearing your name, address, phone number, etc. on your Cocker at all times?:

Yes
No

If for any reason, you are unable to keep your Cocker Spaniel, will you agree to contact us to take the dog back first?:

Yes
No

Are you willing and able to accept full care, costs, and necessary burdens and responsibility of owning a Cocker?:

Yes
No

How many dogs have you owned in the past ten years:

Please list each dogs' breed, sex, name and age.
(If you no longer own the dog, please note what became of it and why you no longer have it.):


 

What other pets do you have now?:

Have you ever bred or raised dogs?:

Yes
No

If you have dogs now, are they spayed/neutered?:

Yes
No

Have you ever owned a Cocker Spaniel?:

Yes
No

Have you ever participated in dog shows?(Shown your dogs?):

Yes
No

Have you ever trained a dog before?:

Yes
No

If yes, what commands were taught?:

Are you familiar with crate training?:

Yes
No

If no, would you be willing to learn more about it and
consider the use of a crate (portable cage) 
as a training and transitional aid?:

Yes
No

Where will your Cocker sleep at night?:


 

What would be the reason you would give up a pet?:

Would you be able to take your Cocker to
obedience training if it was having some behavioral problems?:

Yes
No


How would you describe your household activity level?


Estimate the number of times per month strangers (adults and or children) visit your home:

Estimate the number of times per month you will take your dog to others homes or to the pet store:


 

In addition to a regular life at home, 
would your Cocker:

Walk routinely with a family member?:

Yes
No

Compete In obedience trials?:

Yes
No

Go to obedience classes?:

Yes
No

Go to your place of business with you?:

Yes
No

Travel with you?:

Yes
No

Be a playmate for your children or pets?:

Yes
No


Would you prefer a male or female Cocker Spaniel?

What age would you prefer?

What color are you interested in?

Check as many as you desire

AnyBuffBuff and White
Buff and TanRedRed and White Parti
BlackBlack and WhiteBlack and Tan
Black and White PartiTricolorChocolate
Chocolate and White PartiChocolate and TanSableRoan

Is there anything else you would like to tell us that would help us in the selection of the correct cocker for you and your family?

 

Occasionally, a Cocker spaniel with special needs
(physical restrictions or health problems, or just an older dog, as in a rescue or one from a breeder that did not turn out as they expected.)

is available to a good home.
Would you be interested in being considered for such a "special" dog?:

Yes
No

Do you currently have a vet?:

Yes
No
If yes, please list your veterinarians name address and
phone at the bottom of this questionaire in the vet section.
Please list two personal references that you have known
for more than two years that are NOT relatives.

 

Vet's name, address and phone number:

 

Please add any comments you feel that would help us better

understand you and your home as a potential Cocker Spaniel owner.