Questionaire Personal Info Name: * Address: * City: * State: * Zip: * Home Phone: Work Phone: Email: * Referred By: Residence Questions Type of Dwelling: House Condo Apartment Mobile Home How Long Have You Lived at This Residence? Do You Have Children? No Yes If So, What Ages? Pet Questions 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? No Preference Male Female Have you considered an older dog instead of a puppy? Have you researched the breed? How did you hear about The CKCS? How did you locate me and my information? Are you willing to have your pet spay/neutered? 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? Spam Prevention Spam Prevention Enter Code: submit Your form has been sent to the site administrator, and someone will get back to you if there are any questions. Please turn on javascript to submit your data. Thank you!