Personal Information
BE ADVISED THAT I WILL ONLY CONTACT YOU BY E-MAIL WHEN PUPPIES ARE AVAILABLE. PLEASE REPLY WITHIN 3 DAYS. IF I DON'T GET A RESPONSE BY E-MAIL OR PHONE CALL, YOU WILL BE DROPPED FROM THE WAITING LIST.
Puppy information:
Choice of Puppy: Cockapoo ShihPoo Cocker Spaniel
Preferred Colors: Cream Buff Apricot Chocolate Red Black Parti-Color Sable Phantom No-Preference (Please note if choice color is not available you will not be contacted)
Preferred Sex: Male Female No-preference
I will accept opposite sex if my first choice is not available: Yes No
Other request (Size, Coat Type, etc.):
Why do you want this kind of breed?
Are there any other pets in your home? What kind?
Please list ages of children.
Does any one suffer from allergies? Explain:
