First Name* Last Name* Email address* Phone* Fax City* State* Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Zip* Profession* Do you currently own dogs ?* Yes No How many? What breeds? Their temperment Gender Male Female Spayed or Neutered Yes No Did you previously own dogs ?* Yes No How many? Previously Owned Breeds What happened to these dogs? How did you learn of the Coton?* Why are you interested in a Coton?* Do you plan to Breed Show Will you keep in touch with the breeder?* Yes No Do you live in a Home, Apartment or Other? Please describe* Do you have a securely fenced yard?* Yes No What percentage of time will your Coton be in the House?/Yard?/Other?* How many hours are you away from home each day?* Where will your Coton be during this time?* When you are away for work or vacation - how will your Coton be cared for?* On what occasions do you plan to use a crate, and if so how long?* Where will your Coton sleep?* What type of training do you intend for your Coton? Please list family members/ages? * Briefly explain why you have chosen his time to bring a Coton into your family and how all of the family members feel about it* Describe your personality* Hobbies, dog related or not* Preference, male or female, why? * Please check all that apply - I want a Coton for* Companionship Show Obedience Agility Therapy Breeding Other If other please explain Any coat color preference? Will you spay or neuter this dog?* Yes No Rank in order of importance to you (1 - 4): Temperment* Sex Preference* Color* Size* Describe the perfect temperment for your new puppy.* Additional Comments Type the characters* This field should be left blank Send Please wait...
