New Customer Registration Form

New Customer Registration Form

Copeland Cavaliers Puppy Application

Thank you for your interest in a Cavalier King Charles Spaniel from my program. My goal is to breed for not only good structure and smart confident puppies, but also for health. I only allow pairings to occur when I believe the pairing to be beneficial to the Cavalier population. For all my pairings, I require both parents to have been cleared for eyes, heart, hips and patella and registered in the OFA database with CHIC numbers. Parents will also been DNA tested for dry eye curly coat syndrome, episodic falling syndrome, medium-chain acyl-CoA dehydrogenase and degenerative myelopathy. Puppies will come microchipped with age-appropriate immunizations and dewormings, AKC registration, birth & health documents, transition care package, new owner information and lifetime breeder support from me. Puppies will also be started on crate training and potty training before coming home at 10 weeks of age. Please be thorough with your responses below. This will help me provide the best match to meet your needs. Puppies will be considered for homes that are the best match for both the applicant and puppy’s needs. Preferences will be taken into consideration, however I do not place puppies solely based on color/sex preference only. When we believe a puppy to be a good match with a candidate, I will reach out to you. Please note there is a refundable $500 deposit that will go into the final pricing of your puppy. Puppies will be sold under limited registration and will come with a puppy contract to ensure our puppies are not put into harms way. I do not ship puppies, so please note that you will need to be available to come to my home, or we can schedule for me to bring the puppy to you if I am available to do so. Please email me at any time to ask questions!
Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Preference on sex of puppy?*

Female onlyMale onlyWell consider female or male
Preference on color of puppy? Select all that apply*

BlenheimTricolorRubyBlack & Tan
How do you plan on exercising & taking your Cavalier potty?*
Do you understand that this application is for limited registration, meaning this puppy will be sold under contract to be spayed/neutered by 2.5 years of age and will never be bred? *
Are you willing to keep an intact Cavalier if one to show promise to being beneficial to our breeding program? This would also include a co-ownership with myself and not a guarantee the dog will be bred.*
Do you currently, or have you in the past bred, owned or showed Cavalier King Charles Spaniels?*
Being very specific, what are you looking for in regards to temperament, drive, independence (or more centered to you)? Feel free to explain if you’re looking for something specific *
What are your plans for your puppy?*

Family/companionService DogAgilityDock DivingTrackingConformationFCAT/CABTTherapyObedienceRallyScentworkOther
Have you trained a dog in any of the above plans? If so, please explain. If not, how do you plan to achieve these goals?*
How many hours a day will your dog be left alone?*
How do you plan on housing your dog in your home while you are gone?*
List children & ages, and any other animals (breeds & ages) that reside in the home/property with a puppy:*
Does anyone in the house have an allergy to dogs?*
If you are an established client with a veterinarian, please provide their clinic information, address & phone number*
Please provide 2 references (names & phone numbers) who can explain your experience with dogs, training & behavior*
Are you ready for a lifetime commitment to a Cavalier, including all training and medical needs and costs that may arise on top of the purchase price price of a puppy?*

YesNo
Do you understand that although I have done extensive health testing on the sire and dam, and paired them based on lineage health, that things could possibly arise medically for your Cavalier puppy that I cannot control? I provide a 1 year genetic health contract.*

YesNo
Please list any questions or concerns you may have, and if you would prefer to be called or emailed to discuss your application further:*
Should be Empty: