Larley Boykin Spaniels

Larley Boykin Spaniels Puppy Questionaire

Name:

Email Address

Address:

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What are your reasons for wanting a Boykin Spaniel?

Have you ever owned a Boykin Spaniel? If yes, whom did you purchase your Boykin Spaniel?

Please check the area in which you are most interested. (check all that apply) Pet Show Obedience Agility Field

Is your preference for a: Male Female

Do you prefer a: Puppy Adult No Preference

If a puppy were not available, would you consider an adult? No Yes

If you have another dog or dogs, please list their breed and age.

Do you have a fenced yard? No Yes

How many adults occupy your house hold?

How many children are in your household? Please list ages:

How many hours per day will this dog be left alone? Please explain your answer:

A veterinarian is an excellent reference. If you have one, please list their name and number so they may be contacted:

How did you hear about us?

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