I would prefer that you contact me by telephone. The best time to reach me is between 10:00 am and 1:00 pm.

If you choose to contact me by email please make sure to include the following information and be aware that my schedule does not allow me to check email daily and it may take a few days for me to get back with you. If you do NOT hear back from me (with in a few days), please fell free to send me another email

Name:

City/State:

Phone:

Best time to call:

Referred By:

Email:

Type of Dwelling:
House - Condo - Apartment - Mobile Home

How long have you lived at this address?

Do you have children?
Yes - No If yes, what ages?

Do you have a regular Veterinarian?

Where will the puppy be kept during the night? / During the day?

Is someone home during the day?

Do you have a fenced yard or suitable enclosed area?

What sex are you interested in or do you have any preference?
Male / Female / No Preference

Have you considered an older dog Instead of a puppy?

What other information would you like to share about your family?

What is the main reason you feel that a Cavalier King Charles Spaniel is the right dog for your family?