Rainsway Clumbers Questionnaire 

Thank you so much for your interest! Please feel free to fill this out if you are interested in a Clumber Spaniel from us in within the next year. We have some exciting litters planned and occasionally have adult Clumbers to place too. This questionnaire should not take too long.

-Raina

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Email *

About You

This section is about you.
First & Last Name(s)
*
Phone Number
Home Address
State / Country
Occupation
Name and Ages of Household Members
Do all family members want a dog? If no, please explain.
Clear selection
Is someone home during the day? If no, how is this handled?
Clear selection
Are any members of the household allergic to dogs? If yes, how will this be handled?
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Do you... (Please Select all that apply)
Approx Yard Size and Fence Type
Name, Breed, and Age of other Animals
If you currently own or have owned a Clumber Spaniel please tell me about them! Who did you get him/her from?
Veterinarian’s name, Address, Phone:
Will you allow for a home inspection by either Rainsway or one of its friends prior to the sale of the puppy:
Clear selection
Who will take care of the dog when you are gone for extended periods or vacations?
In placing dogs with buyers, I consider this agreement a pact between parties to secure the dog’s welfare for its lifetime. In this agreement, I offer lifetime refuge for any dog I produce which buyer cannot keep. Will you promise to return the dog to me should some unforeseen circumstance prevent you from keeping the dog any longer with no monetary refund? *
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