Duke's Cockapoos Puppy Application
Fredericksburg, VA
Contact us at (919) 358-3035 or dukescockapoos@gmail.com
Email address *
Name *
Your answer
Address
Your answer
Phone Number
Your answer
Your Puppy Preferences
Please enter preferred puppy characteristics. Although we do not guarantee that all preferences will be matched this will help us to identify and match puppies to future owners.
Sex
Size - Please note most of our dogs are standard size but we do occasionally produce a mini sized cockapoo.
Color Choices
Note: We may not have all choices available or any of your choices
Coat type
Do you understand we do NOT dock tails?
Do you or your family suffer from dog allergies
Number of Family Members
Your answer
Number of Children
Your answer
Age of the Youngest Child
Your answer
What is the longest amount of time an adult is away from home?
Your answer
What pets do you currently own (how many of each pet)?
Your answer
If you don't currently own pets, what pets have you owned previously
Your answer
Name and Phone number of Your Vet
Your answer
Do you Own or Rent your Home
If you rent, please state pet weight limit and landlord contact information
Your answer
Are you aware dogs require yearly vaccinations?
How would you go about training?
Have you crate trained a dog before?
Have you house trained a dog before?
What traits do you "want" in a dog?
Under what circumstances would you need to return the puppy/dog?
Your answer
We want to agree that if you need to sell or give the dog/puppy away, you will contact us first to give us the option to rescue the dog.
Please tell us anything helpful in identifying a puppy to fit into your lifestyle or if you have any other questions or comments:
Your answer
Are you interested in becoming a Guardian Home? For more information, visit www.dukescockapoos.com/guardian.html
The price of the puppy is $1500. A $500 nonrefundable deposit is due to hold your spot on the waiting list once puppies are confirmed. Half of the balance is due at puppy selection and the other half at pickup. How are you submitting the nonrefundable $500 deposit? *
By submitting this form, I understand that I enter into a binding contract and that the initial deposit also constitutes the wait list fee, for services of matching a puppy and holding this puppy for me against sale to other interested parties, and that I understand that this fee is non-refundable should I change my mind or otherwise attempt to cancel this contract. In addition, I understand that Duke's Cockapoos reserves the right to refuse sale a puppy to me. I understand that a puppy may not possess all of my desired quantities and that I have right to not select such a puppy however my deposit is non-refundable. *
Required
Entering your full name here serves as an electronic signature to the sales terms stated above: *
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.