English Springer Spaniel Application
If You are interested in an English Springer Spaniel please complete the Puppy Buyer Questionnaire and return to:
Barbara Orr - mailto: [email protected]
Your assistance in completing this questionnaire will help me place the right puppy or adult with you. Please be sure to fill out every applicable question. Thank you for you cooperation and interest.
NAME__________________________________________ PHONE_________________________________________
ADDRESS______________________________________________________________________________________
CITY______________________ PROVINCE / STATE_______________________ POSTAL CODE / ZIP___________
How did you learn of Shore English Springer Spaniels?
_______________________________________________________________________________________________
For what purposes are you purchasing a Springer?
Family Pet_____ Obedience_____ Show_____ Breeding_____ Hunting _____
If you are looking for a show prospect, do you have any show experience?___________
If yes, please explain:_____________________________________________________
Do you prefer a Male_______, Female________, No Preference_____
Puppy_____(8 weeks - 6 months) Senior Puppy_____(6-12 months) Adult _____
English Springer Color: Black/White_____ Liver/White_____ No Preference_____
Do all family members want a new puppy?__________
List the ages of all persons residing in your home: ____________________________
List occupation of the adults residing in the home:____________________________
Is anyone in your family afraid of dogs?______
Is anyone in your family allergic to dogs or cats?____
Does anyone in the household smoke? _____
Have you owned other breeds?_______
How many, when, and from whom?_________________________________________
Do you own any other pets currently?________________________________________
Are you committed to care for this dogs needs for its lifetime?(both breeds can live up to 12 years of age or more)______
Do you own______or rent_____ If you rent, do you have permission to have a dog? ________Proof will need to be provided.
Home______Apartment______Townhouse________Trailer_______
Is your yard securely fenced?______Type of fence?________How many feet high?__________
Do you padlock your gates?________Do you have a kennel run?________
If you do not have a securely fenced yard, how do you plan on exercising your new dog/puppy?___________________________________________________________________________________________________
Do you have a pool?_____Is it fenced separately from the rest of the yard?___________
Will someone be home with the dog during the day?_____
If your dog will be left home alone during the day, how many average hours?_____
Where will the dog be kept when you are not home? House_____Outside______
If in the house, where? ______________________________________ In crate or loose?______
If you are not home during the day, what arrangements will be made to feed and exercise the puppy while you are not home?____________________________________________________________________________________________________
Where will the dog be kept at night? House_____Outside______
If in the house, where? ________ At night will the dog be in a crate or loose?__________
Who will be responsible for the dog's care, such as feeding and walking?_____________
Who will be responsible for the dog's health care and veterinary visits?_______________
Are you willing to take this dog to obedience and puppy kindergarten classes in order that he will become an enjoyable companion and a good canine citizen?____________
How would you describe your lifestyle as a family? ________________________________________________________________________
What type of recreation do you enjoy as a family? ________________________________________________________________________
How do you usually spend your family vacations? ________________________________________________________________________
How would the puppy be cared for when you are away?___________________________________________________________________
If divorce should occur in your family, however unlikely, what would happen to the dog? __________________________________________
Have you taken into consideration the expense of a dog including food, training, routine vet care, emergency vet care? ________
How much do you expect to pay yearly for dog care? _________
Do you have a regular veterinarian?____Please list their name and address ______________________________________________________________________
Phone Number: _________________________________________________________
Please note we do veterinary reference checks. You will need to give your vet's staff authorization that we can ask about your current/previous pets and their care.
Are you willing to spay/neuter this dog? _____
Are you willing to allow a home check? This entails myself or if you live far away, an associate, that will come to your house and see where the puppy will live. ____________
Have you ever rescued a dog and helped place it for adoption or kept it yourself? _________
Please explain:_________________________________________________
Have you ever had a dog hit by a car?_____
Please explain the circumstances: ________________________________________________________________________________
Are you willing to keep in contact with the breeder with periodic updates as we love all these puppies as our babies and are always interested in how they are doing?________
Are you aware that no matter how careful your breeder is, and even though your breeder obtains the appropriate clearances from the parents of the puppy, that just as in humans, there is always a possibility that your puppy could inherit some genetic problems including hip dyplasia, heart problems, cancer, allergies, etc?______
Are you still willing to purchase a puppy knowing that there is no such thing as a perfect puppy?______
After reading this questionnaire, do you still feel that you are willing and able to offer this type of commitment to a dog, so that the dog you purchase will have the type of lifestyle that he requires and deserves?_______
Do you understand that in the event that you are unable to care for or are forced to give up this puppy/dog at any time in its lifetime, it must come back here. ________If possible the dog may be transferred to another family member or friend after filling out a questionnaire and signing a contract.
Please write a paragraph as to why you and/or your family, want an English Springer Spaniel. Please use as much space as possible, the longer the better.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
If sending back via email (preferred) please use a script font. If you don't have a script font, please use a different font.
SIGNED:_______________________________________________________
DATE:_______________________
Please list references below (previous breeders you have bought from, dog trainers, and personnal references):
References
Name: _______________________________________
Contact Information:____________________________________________________
Name: _______________________________________
Contact Information:____________________________________________________
Thank you for your time,
Barbara Orr
Barbara Orr - mailto: [email protected]
Your assistance in completing this questionnaire will help me place the right puppy or adult with you. Please be sure to fill out every applicable question. Thank you for you cooperation and interest.
NAME__________________________________________ PHONE_________________________________________
ADDRESS______________________________________________________________________________________
CITY______________________ PROVINCE / STATE_______________________ POSTAL CODE / ZIP___________
How did you learn of Shore English Springer Spaniels?
_______________________________________________________________________________________________
For what purposes are you purchasing a Springer?
Family Pet_____ Obedience_____ Show_____ Breeding_____ Hunting _____
If you are looking for a show prospect, do you have any show experience?___________
If yes, please explain:_____________________________________________________
Do you prefer a Male_______, Female________, No Preference_____
Puppy_____(8 weeks - 6 months) Senior Puppy_____(6-12 months) Adult _____
English Springer Color: Black/White_____ Liver/White_____ No Preference_____
Do all family members want a new puppy?__________
List the ages of all persons residing in your home: ____________________________
List occupation of the adults residing in the home:____________________________
Is anyone in your family afraid of dogs?______
Is anyone in your family allergic to dogs or cats?____
Does anyone in the household smoke? _____
Have you owned other breeds?_______
How many, when, and from whom?_________________________________________
Do you own any other pets currently?________________________________________
Are you committed to care for this dogs needs for its lifetime?(both breeds can live up to 12 years of age or more)______
Do you own______or rent_____ If you rent, do you have permission to have a dog? ________Proof will need to be provided.
Home______Apartment______Townhouse________Trailer_______
Is your yard securely fenced?______Type of fence?________How many feet high?__________
Do you padlock your gates?________Do you have a kennel run?________
If you do not have a securely fenced yard, how do you plan on exercising your new dog/puppy?___________________________________________________________________________________________________
Do you have a pool?_____Is it fenced separately from the rest of the yard?___________
Will someone be home with the dog during the day?_____
If your dog will be left home alone during the day, how many average hours?_____
Where will the dog be kept when you are not home? House_____Outside______
If in the house, where? ______________________________________ In crate or loose?______
If you are not home during the day, what arrangements will be made to feed and exercise the puppy while you are not home?____________________________________________________________________________________________________
Where will the dog be kept at night? House_____Outside______
If in the house, where? ________ At night will the dog be in a crate or loose?__________
Who will be responsible for the dog's care, such as feeding and walking?_____________
Who will be responsible for the dog's health care and veterinary visits?_______________
Are you willing to take this dog to obedience and puppy kindergarten classes in order that he will become an enjoyable companion and a good canine citizen?____________
How would you describe your lifestyle as a family? ________________________________________________________________________
What type of recreation do you enjoy as a family? ________________________________________________________________________
How do you usually spend your family vacations? ________________________________________________________________________
How would the puppy be cared for when you are away?___________________________________________________________________
If divorce should occur in your family, however unlikely, what would happen to the dog? __________________________________________
Have you taken into consideration the expense of a dog including food, training, routine vet care, emergency vet care? ________
How much do you expect to pay yearly for dog care? _________
Do you have a regular veterinarian?____Please list their name and address ______________________________________________________________________
Phone Number: _________________________________________________________
Please note we do veterinary reference checks. You will need to give your vet's staff authorization that we can ask about your current/previous pets and their care.
Are you willing to spay/neuter this dog? _____
Are you willing to allow a home check? This entails myself or if you live far away, an associate, that will come to your house and see where the puppy will live. ____________
Have you ever rescued a dog and helped place it for adoption or kept it yourself? _________
Please explain:_________________________________________________
Have you ever had a dog hit by a car?_____
Please explain the circumstances: ________________________________________________________________________________
Are you willing to keep in contact with the breeder with periodic updates as we love all these puppies as our babies and are always interested in how they are doing?________
Are you aware that no matter how careful your breeder is, and even though your breeder obtains the appropriate clearances from the parents of the puppy, that just as in humans, there is always a possibility that your puppy could inherit some genetic problems including hip dyplasia, heart problems, cancer, allergies, etc?______
Are you still willing to purchase a puppy knowing that there is no such thing as a perfect puppy?______
After reading this questionnaire, do you still feel that you are willing and able to offer this type of commitment to a dog, so that the dog you purchase will have the type of lifestyle that he requires and deserves?_______
Do you understand that in the event that you are unable to care for or are forced to give up this puppy/dog at any time in its lifetime, it must come back here. ________If possible the dog may be transferred to another family member or friend after filling out a questionnaire and signing a contract.
Please write a paragraph as to why you and/or your family, want an English Springer Spaniel. Please use as much space as possible, the longer the better.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
If sending back via email (preferred) please use a script font. If you don't have a script font, please use a different font.
SIGNED:_______________________________________________________
DATE:_______________________
Please list references below (previous breeders you have bought from, dog trainers, and personnal references):
References
Name: _______________________________________
Contact Information:____________________________________________________
Name: _______________________________________
Contact Information:____________________________________________________
Thank you for your time,
Barbara Orr
Designed and Maintained by Christine Remme