Second Chance Cocker Rescue Available Dogs

Adoption Fees:
$350 dogs 0-3 yrs
$300 dogs 4-8 yrs
$200 dogs 9 and older

Second CHANCE Cocker Rescue Application

Second CHANCE Cocker Rescue Application *
Name *
Prefix
First *
Last *
Suffix
Email *
Phone *

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Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Is there a specific dog you are interested in? *
Reason for wanting a cocker? *
What are you looking for in a dog? check all that apply. *
 Male 
 Female 
 Calm 
 Active 
 Kid friendly 
 Dog friendly 
 Cat friendly 
 Outgoing 
 Shy 
What age range are you looking for in a dog? *
Do you have any other pets? or had any in the past? What happened to them? *
What is your lifestyle like? *
How many family members are there and what are the ages of the children? *
Is there anyone home during the day? *
How long will the dog be left alone on average? *
Where will the dog sleep? *
Where will the dog be when you are not at home? *
What brand of dog food are you planning on feeding? *
What kind of training do you use on your dog? *
I would give up my dog because? Check all that apply. *
 Large vet bills 
 Biting 
 Moving 
 Allergies 
 Training issues 
 Other 
 I would never give up my dog 
I own/rent my home *
I live in an: *
 Apartment 
 Condo 
 Home 
 Other 
If you rent, please include your landlords name and contact info:
What is your $ limit for a major vet bill? *
Name and phone number of the Vet you plan to use *
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