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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 Swank'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 I do not have anything you may be interested in, you may still fill out the form and I will try to direct you to other reputable Cocker breeders who may be able to help 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.

Personal Information
Name:
Street Address:
City:
State:
Zip:
Phone:
Cell Phone:
Fax:
E-mail:
Occupation(s):
Employer(s):
Home Information
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:
How long will your Cocker be alone each day:
Do you live in a:	Single Family Home Mobile Home Condominium Apartment
If you rent or lease you must have written permission from your landlord, please list landlord's information:
Is your yard fenced	Yes No
If yes, please describe the type of fencing, area fenced and height:
If no, would you consider building one as a condition to purchasing a Cocker	Yes No
Care for the Cocker
Are you willing to modify your daily schedule to accommodate a Cockers needs,.such as walking it 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:	Yes No
Cocker Spaniels are mainly house dogs. They can be kept outside for short times. 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)	Yes No
Are you willing to keep a collar on your dog with a tag bearing your contact information at all times:	Yes No
If for any reason, you are unable to keep your Cocker, will you agree to contact the breeder (Swank's Cockers) first:	Yes No
Are you willing and able to accept full care, costs, and necassary 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):
Environment
What other pets do you have:
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
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	Yes No
How would you describe your household activity level:	Very Active Fairly Active Somewhat Active Not very Active
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
Specifics:
What Color are you interested in:
Is there any dog currently listed on this site you are interested in:
Occasionally, a Cocker Spaniel with special needs (physical restrictions or health problems,) is available to a good home. Would you be interested in such a "special dog"?	Yes No
Do you currently have a vet:	Yes No
If yes, please list your veterinarian's name, address, and phone number:
Please list 2 references that you have known for more than 2 years that are not relatives:
Notes on Application:
Please add any comments you feel that would help us better understand you and your home as a potential Cocker Spaniel Owner: