Puppy Questionnaire First Name* Last Name* Email address* Phone* Fax City* State* AlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon 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* Send This field should be left blank First Name*Last Name*Email address*Phone*FaxCity*State*AlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonZip*Profession*Do you currently own dogs ?*YesNoHow many?What breeds?Their tempermentGenderMaleFemaleSpayed or NeuteredYesNoDid you previously own dogs ?*YesNoHow many?Previously Owned BreedsWhat happened to these dogs?How did you learn of the Coton?*Why are you interested in a Coton?*Do you plan toBreed ShowWill you keep in touch with the breeder?*YesNoDo you live in a Home, Apartment or Other? Please describe*Do you have a securely fenced yard?*YesNoWhat 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*CompanionshipShowObedienceAgilityTherapyBreedingOther If other please explainAny coat color preference?Will you spay or neuter this dog?*YesNoRank in order of importance to you (1 - 4):Temperment*Sex Preference*Color*Size*Describe the perfect temperment for your new puppy.*Additional CommentsType the characters*SendThis field should be left blank
