Rainbow Cockapoo Puppy Application:
Please fill out completely
Full Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
-
Area Code
Phone Number
E-mail
example@example.com
How did you hear about us?
Please Select
Web Search
Facebook
Instagram
Other (please specify)
What made you choose a cockapoo?
Is this your first time owning a pet?
Yes
No
Do you currently have other pets in your home? Please tell us how many and what kind(s)?
Does anyone in your home suffer from allergies
Yes, Mild
Yes, Moderate
Yes, Severe
No
When are you looking to add a Cockapoo to your family?
The soonest that one becomes available
2-4 months
4-6 months
6 months to a year
1 year or more
For the puppy's exercise, how active would you consider your family to be?
A little active
Moderately active
Very active
How will your puppy get their needed exercise?
Do you have a safe, fenced in yard? How big is the yard?
Where will your puppy sleep at night?
In a brief paragraph tell us about your past pets..... How long did they live? What was the cause of death? Were any taken to a shelter or rescue? If yes, what was/were the reason?
Do you have any goals/interests for your puppy? Showing, Service, Therapy, Rescue etc.
What will you do with your puppy if you move?
Are you aware that we require our puppies to be returned to us if you are unable to keep them?
Yes
No
Are you aware that deposits are non-refundable
Yes
Can you commit to 14 or more years to feeding, caring for, and grooming your Cockapoo?
Yes
No
What is the best form of contact to reach you at?
Phone call
Phone text
Email
What is the best time to contact you? (Mountain standard time zone)
Mornings (between 7AM-12PM)
Afternoon (between 12PM-5PM)
Evenings (between 5PM-8PM
Anytime
Would you like to include professional obedience training with your puppy?
Yes, 2 weeks $1,200
Yes, 4 weeks $2,400
Yes, 8 weeks $4,800
No thanks, we will do it ourselves
How do you plan to get your puppy home? NOTE* We are located in Eastern Utah. We will gladly meet anywhere in the Salt Lake valley for pickup, including the SLC international Airport (on the planned date for the litter you're picking from) free of charge.
I will fly into Salt Lake City international airport
I will drive to pick up my puppy
I would like to schedule a flight nanny (This service is an additional fee)
I'm not sure yet, I will let you know ASAP to schedule arrangements
Please tell us any additional information we might need to know
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