Thinking about owning a cocker spaniel? Be in the know about this wonderful and special breed, check out this handy COCKER SPANIEL FACT SHEET!




Fillable Form

Please fill in the blanks then click on submit. Please note that clicking on reset will clear the form and you will have to start over! 

If you will be a first time Cocker Spaniel Owner, please read our Cocker Spaniel Fact Sheet HERE before submitting your application.


Gulf Coast Cocker Spaniel Rescue, Inc. (“GCCSR) thanks you for seeking to adopt a rescue animal.  Our goal is to place our rescued pets in permanent, loving homes.  We understand this application/contract is lengthy, but it has been formulated in hopes if minimizing the risk of a failed adoption.  Please complete this application/contract so that we at GCCSR can assist you in finding a special, compatible companion to join your family. 

We do not adopt dogs on a “first come, first served” basis, but rather make every attempt to match families with the most compatible pets. The primary adoption fee for pets is $200.00 for cocker spaniels 6 months of age and older. The fee for puppies under 6 months old is $300.00, and placement is done only on a foster-to-adopt basis until sterilization is completed at one of GCCSR’s veterinarians.  After surgery, the adoption will be finalized upon receipt of the $300.00 adoption fee and co-signing of the contract by a GCCSR representative.

Because the animals in GCCSR’s adoption program are rescued, we do not know their actual ages.  The approximate age of the pet in which you are interested is estimated using our experience and the advice of our veterinarians.  Often times, different veterinarians may approximate different ages for the same pet, which may appear on their respective records.  GCCSR thus uses reasonable efforts to approximate an appropriate age, but makes no affirmative representation that the approximate age is the actual age of the pet. 

By signing this application, you as the adopter agree that in the unfortunate event you should you decide not to keep your pet for whatever reason, you will immediately contact a GCCSR representative and return the pet to GCCSR.

GCCSR has the right to either deny or approve applications without explanation. Approval should not be construed to mean the applicant can select any dog. If we feel a specific dog is not a good match, we may still decline to adopt that particular dog to you.  




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Part I Veterinary Reference/Release

Part II Your Pet Ownership History (Please Be As Specific As Possible In Your Answers)

Part III Information About You

Part IV Information About Your Family

Part V: Information About Your Home

Part VI: Information About Leaving/Housetraining/Exercising/Obedience Training Pet

Part VII: Information About Your Experience with Animals/Your Expectations and Permission for Home Visit

Part VIII: Life With A Cocker Spaniel

Part IX: Adoption, Release and Indemnity Agreement

Part X: Agreement

Enrollment in pet recovery services provided by HomeAgain, Avid or ResQ is included in your adoption fee.  GCCSR will remain as the Primary contact and Adopter will be enrolled as the alternate contact. NOW, THEREFORE, for and in consideration of GCCSR's relinquishment of custody of Pet and other good and valuable consideration provided to Adopter by GCCSR, which Adopter acknowledges is good and sufficient consideration for Adopter’s agreements herein, Adopter hereby gives and grants GCCSR unto, as a basis on which Pet is released, this Adoption, Release, and Indemnity Agreement, and promises, covenants, and agrees as follows:

For Rescue Use Only

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Printable Version

Please print and mail to: 

Gulf Coast Cocker Spaniel Rescue, Inc.

P.O. Box 42170, Houston, TX 77242

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GCCSR Adoption Application Contract.pdf GCCSR Adoption Application Contract.pdf
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