Type in and submit to me or please print out.   This application helps us with information of
you as  possible extended family, and type of pet that you wish to adopt.  Please keep in
mind as your fill out the application that lots love and hours have been spent on the
dam/sire which are part of our family, and we want to make every possible effort to place our
puppies in the best home possible.  Please call/email us at anytime if you have questions or
concerns.                                                                                
A deposit of $500 is required to hold your place on a waiting list (as in first come, first pick).   
Please mail back to us if you are seriously interested in being on a waiting list.  We will do
our best to keep you posted on the puppies and their development once our puppies are
born.  Deposit is non refundable after babies are born.

After we receive your application, if we both are in agreement to buy/placement of a puppy,
we will mail you a contract.          
                  
Ruth & Jeb Weidrick
WindCrest Cottage
What about exercise for you dog?  How do you plan to let your dog get regular
exercise?
Dogs and small children should be supervised at all times, are you willing to
provide supervision?
If you have children, have they ever been around dogs before & were there any
problems?
WindCrest Cottage Cotons
200 Greenview Lane
Danville, Ky. 40422

Phone : 859-319-9901
or  
Leave Message

email:windcrestcottagekyusa@earthlink.net
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Name
Address
Phone #
Email Address
Your Profession
Spouse Profession
Do You Live
Apartment
City
 Country
House
Fenced in Yard?
 Yes
Veterinary  
Phone #
Name
Address
Now or In The Past
Number of dog(s) you presently own
Ages of dog(s) when aquired
Gender:
 Male
Female
 Spayed
Neutered
List Breed(s)
Temperment of dog(s)
Number of dog(s) previously owned
Age(s) of dog(s) when aquired
Do you still have the dog(s), if not what happened ?
When and where did you learn of the Coton?
Why are you interested in owing a Coton?
Your New Puppy
Would you be willing to feed this puppy premium (I.e. not grocery store) dog food?
Yes
 No
Will you make sure your new puppy will get regular health checks and immunizations?
Yes
No
How do you plan to let your dog relieve itself?
While you are away from home, how many hours a day will your dog be left alone?  
# of hrs.
Where will your dog be during this time?
While you are at work or vacation, how will the dog be cared for?
Do you plan to use a crate for your dog
Yes
 No
Explain the occasion(s)  you plan to use a crate and if so for how long?
Where will the dog sleep?
Are you willing to accept a dog that is not housebroken and be willing to
potty train your new dog, AND Explain how you will do this:
Please list your family members & their ages:
Yes
No
Yes
No
Have you had any experience with rescuing a homeless animal?
Describe:
Yes
No
How long would you be willing to wait for your new puppy?
Would you be willing to adopt an older dog?
Male
Yes
 No
 Female
If yes, up to what age
Would you like to reserve a puppy?
Yes
Male
Female
 Pet Quality
Show Quality
Date
Purchaser Signature