Puppy Application Form

Puppy Application

The information contained in this application is used only for the purpose of placing a puppy and will not be used elsewhere. A $500 deposit to hold your puppy will be collected after your application is approved and a puppy your after is available and will be deducted off the total price of the puppy.
Deposit type

TransferCash
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number - mobile*

+61Phone Number
Secondary contact - Mobile*

+61Phone Number
Lifestyle:
With these questions, we will be able to match the puppy better with its new home.
What Gender are you looking for?*

MaleFemaleNo Preference
Do you have a colour preference*

YesNoNo Preference
What would your colour preferences (if any) be?
Do you live in a:*
Household Setting*

RuralSuburbanUrban
Do you have children at home?*

YesNo
What ages are your children?*

0-56-1112+All aged between 0-16Not applicable
We only ask this so we can insure your pup spends as much time as possible with a child of a similar age
Have you owned a dog before?*

YesNo
Do you have any pets now?*

YesNo
What are your current pets?
Have you researched a Cocker Spaniel to ensure it’s the right breed for your family?*

YesNoStill assessing
Do you have a secure fenced yard?*

YesNoPartial
For the safety of your puppy, when not in an enclosed fence area, please keep your puppy on a leash at all times.
Will the puppy live indoors?*

YesNo
Do you work outside of the home?*

YesNo
How many hours in a day would the puppy be left alone?
On average a puppy shouldn’t be alone more than 5 to 6 hrs. a day
Will you be attending obedience classes with your puppy?*

YesNo
Will the puppy be picked up from us?*

YesNo
Are you aware that your Cocker will need regular coat maintenance to avoid matting?*

YesNo
Are you requiring Mains or Limited reg papers with your Pup?*

Mains (Breeding & Showing)Limited Reg ( Pet Homes)Unsure
Will you require your puppy to be delivered by pet transport?*

YesNo
Puppies can be shipped anywhere in Australia at buyers cost which can be discussed upon application approval.
Do you agree to contact Tecopa Valley in the event you cannot keep your puppy or you have decided to cancel your EOI application?*

YesNo
What is your budget for your new puppy?
Please tell us a little bit about you, your family and your lifestyle.
Do you have a particular time frame that you are wanting to add a new puppy to your family?
Please feel free to ask us any questions you may have here.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval
Date*

MonthDayYear
Your name*
E-mail*
I will contact applicants at the top of my list once a litter is confirmed, if I have had no response from you within 2 weeks I will send another email but if again no response within in a few days, I will assume you are no longer looking for a puppy and your application will be removed from the waitlist.
The $ 500.00 deposit will be returned if your puppy requirements can’t be fufilled by us. You forfeit your deposit for short notice on change of mind.

Thank you for choosing your puppy from Tecopa Valley and Welcome to our family!
Should be Empty: