Quail Run Cavaliers
Adoption Application
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                          Quail Run Cavaliers

Linda Kornhi

541-726-3850

 

 

Name:_________________________________________Home phone:______________

Spouses Name:___________________________________________________________

Address:_______________________________________City:_____________________

State:_______Zip:________Work phone:________________Fax:___________________

Email address:_______________________________

 

Occupation:______________________Best time to call:__________________________

Spouses Occupation:______________________________________________________

 

Do you live in a:  house, apartment, trailer, other_________________________________

 

Do you own or rent your home?___________If you rent do you have landlord's

permission to keep a dog?_______Landlord's name and phone number:_______________


______________________________________________________________________

If less than one year give previous address:______________________________________


______________________________________________________________________

Do you have a fenced yard?__________If no fence how will you handle toilet duties?__________________________________________________________________

 

Do you understand these are house dogs, and are NOT to be housed outdoors?  Initials___

 

How many adults in household?_____________How many children?_________________

 

Age & sex of children?___________________Have you owned a Cavalier before?______

 

If not, how did you learn of this breed and why do you want this breed?_________________________________________­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________

 

Do you currently own Cavaliers or dogs of other breeds?__________________________

 

If yes, list breed, sex and age:________________________________________________
____________________________Have you ever owned Cavaliers or dogs of other breeds?________________

 

What breeds?________________How long?_________________What happened to

them?__________________________________________________________________

                                                                                                                                                                                                                                                                                                                           

Do you own cats?__________How many?____________How long?_________________

                                                                                                                                                                  

Where will the Cavalier spend the day? (Circle all that apply) loose indoors, loose outdoors, basement, garage, fenced yard, tied up outdoors, kennel run, crate, bathroom, other________________________________________________________________ 

 

Where will the Cavalier spend the night? (Circle all that apply) loose indoors, loose outdoors, basement, garage, fenced yard, tied up outdoors, kennel run, crate, bathroom, other_________________________________________________________________

 

What activities do you plan to engage in with the Cavalier? (Circle all that apply) walking, jogging, running, obedience, rally, agility, conformation showing, therapy work, traveling,

other _________________________________________________________________________

 

On the average, how many hours a day will the Cavalier be alone?_______________

 

Do you have a regular Veterinarian?________Name, address and phone:____________

 

 

I give permission to call my Veterinarian for a reference.  Initials_________

 

Do you understand that pet Cavaliers are sold on a spay/neuter contract and ARE NOT TO BE USED FOR BREEDING?  Initials_________

 

What are your reasons for wanting a Cavalier? (Circle all that apply) children's dog, companionship, guard dog, watch dog, other____________________________________

 

 

Do you agree to contact Linda Kornhi if you can no longer keep or care for this Cavalier, and relinquish the dog only to her?______________________________________________________

 

                                                                **********************

ALL OF THE INFORMATION I HAVE GIVEN ABOVE IS TRUE AND CORRECT.  I AGREE TO PROVIDE THIS DOG WITH PROPER AND SUFFICIENT FOOD, WATER, SHELTER, TRAINING, MEDICAL CARE, COMPANIONSHIP AND HUMANE TREATMENT AT ALL TIMES.   I FURTHER AGREE THAT LINDA KORNHI AND QUAIL RUN CAVALIERS IS IN NO WAY LIABLE OR RESPONSIBLE FOR ANY DAMAGE, ACCIDENT OR INJURY RESULTING FROM THE PLACEMENT OF A DOG INTO MY HOUSEHOLD.

 

WE RESERVE THE RIGHT TO REFUSE ANY PERSON OR PERSONS FROM ADOPTING ONE OF OUR CAVALIERS.

 

By:_________________________________________Date:_______________________

                                Signature

 

Quail Run Cavaliers

Revised 5/2007                                                                                                                    

Copyright 2007

No part of this application may be duplicated without written permission of the site owner.                               

 

 

 

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