CGA Puppy Application
**Please note - filling out this application does not guarantee a puppy. Breeder reserves the right to retain breeding puppies from any litter. It should also be noted that due to mother nature and other circumstances, breeder may need to change studs or dams of future litters. All of our puppies are $2000 plus delivery/shipping or sales tax.

We make our breeding decisions from the litter between 7 and 8 weeks of age. We will assign all puppies based on temperaments to their families after weeks of age.

Puppies are very active and need lots of attention, socialization, training and love. If you are not prepared or able to give your puppy the time needed, please wait until you have the time to commit to your new family member.

ALL fields are required on the application. If you skip a field, we will not receive your application.
Email address *
Names (First & Last) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone Number *
Your answer
Type *
Gender Preference *
Size Preference *
Required
Coat Preference *
Required
Color Preference *
Required
Specific Litter *
Your answer
If you have a specific gender, size, color, coat or litter in mind, are you open to others? (If yes, you are likely to be matched with a puppy sooner). *
Occupation/s *
Your answer
How did you hear about us? *
When are you looking to add a puppy to your family? *
Your answer
Do you have children and if yes, names and ages? *
Your answer
Does anyone in your family have allergies? (please provide type, severity, reaction, etc) *
Your answer
How do you rate your lifestyle? *
Describe family lifestyle including activities in which your cockapoo will participate. It will help greatly with allocations. *
Your answer
Will this be your first dog? *
If no, include details of breed and how recently? If yes, indicate n/a. *
Your answer
Have you ever given up or sold a dog for any reason to a breeder, vet, shelter, another person or research facility? *
Please describe all the circumstances surrounding any dog given up for any reason. *
Your answer
Do you currently have any other pets/animals? (include species, age, temperament) *
Your answer
Does everyone in your household support the decision to purchase a puppy/dog? *
Will your puppy be living inside? *
What type of fence do you have? *
If none, how will you contain your puppy while outside? *
Your answer
Where will the puppy be during the day? *
Your answer
How long will the puppy/dog be alone during the day? *
If you work, who will be responsible for the puppy during your working hours? *
Your answer
Where will the puppy sleep at night? *
Your answer
What training will you provide and when will you start? (We require every puppy attend at least 2 classes.) *
Your answer
Will the cost of purchasing and caring for a puppy fit comfortably in your budget? *
Vet's Name/Clinic *
Your answer
Vet's Phone Number *
Your answer
May we call this vet for a reference *
Do you agree to contact us if you are no longer able to care for your CGA puppy? *
Do you agree to never relinquish your CGA puppy to a shelter or research facility? *
Do you agree to never sell or give away your CGA puppy without our knowledge and written consent? *
Are you applying to be a guardian home for one of our potential breeding dogs? *
If yes, do you agree to follow our protocols for communication, vaccinations, vet care, quality food and grooming? *
Once your application has been received and reviewed, we will contact you via email to discuss further. Upon approval of your application, you will be invited to submit a non-refundable deposit to hold a spot on our wait list for one of our upcoming litters.
All of your information is considered confidential and will not be shared with any other persons or companies unless we have written permission from you to do so.
I understand and agree that should I be invited to submit a deposit, it is non-refundable unless we have a missed pregnancy or smaller litter than expected and are unable to provide you with a puppy. *
A copy of your responses will be emailed to the address you provided.
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