Application to Purchase a Puppy
Please fill out the application form below if you are interested in giving a C & S English Springer Spaniel its forever home. This form is designed for Buyers to provide their personal and contact details, history of caring for pets, as well as information related to their family and home environment. This helps us ensure our dogs are going to a good home.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
How long have you lived at this address?
*
Do you plan on moving within the next 12 months?
*
Family Status
Your Spouse's Name (If applicable)
First Name
Last Name
Children living in the home (names & ages)
*
Your Occupation
*
Your Spouses Occupation (if applicable)
Please provide names, phone numbers and relation of 3 personal references.
*
Puppy Preferences
Gender
*
Male
Female
Undecided
Color/Marking
*
Liver & White
Liver Roan
Liver Tri Roan
Black & White
Black Roan
Black Tri Roan
Undecided
Proposed use of the dog
*
Pet or Family companion
Performance competitions
Conformation events or dog showing
Other
Care & Environment
Have you ever owned an English Springer Spaniel before? If so when
*
Have you ever owned any breed of dog before? If so when
*
Is there currently or will there be any other pets in your home?
*
What reference materials have you read about English Springer Spaniels?
*
Based on your research what level of activity do you think ESS require?
*
Please describe your families activity level.
*
Have you ever returned a pet to a breeder? Have you ever reserved a pet and changed your mind? If yes, what were the circumstances?
*
Have you ever rehomed a pet? Have you ever taken a pet to an animal shelter? If yes, what were the circumstances?
*
Type of Dwelling
*
House
Apartment
Condo
Mobile Home
Do you
*
Rent
Own
Lease
If you rent or lease, please provide the name and phone number of the Landlord
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Do you have a fenced in backyard? If not, is there a safe area where the dog can run off leash? How big is your yard?
*
Where will the dog be kept during the day?
*
Where will the dog be kept during the night?
*
What kind of set up do you plan to have for your dog inside and outside?
*
Primary Caregiver
Who will be the primary caregiver in your home?
*
How many hours per day will the dog be alone?
*
How many hours per day will the dog be socialized/exercised? Explain the difference for a work day and non work day.
*
If you work long hours, is there someone else available to assist?
*
Please describe 3 types of exercises you plan to do with your dog.
*
What Veterinary Clinic will care for your dog?
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Additional Questions
In your own words, please tell us what has drawn you to the English Springer Spaniel breed. Why do you want an English Springer Spaniel versus another breed?
*
Have you ever had experience will grooming maintenance of an ESS or any other dog breed?
*
What qualities are you looking for in a dog? Describe your “perfect” dog.
*
What qualities would you NOT want in a dog?
*
How do you prefer we get in contact with you? Email, text message, or phone call.
*
Thank you for taking the time to fill out our puppy application. We appreciate your interest in our English Springer Spaniels and the detailed information you have provided. We will review your application and will be in contact soon to discuss next steps and answer any questions. Thank you for your patience and understanding as we work to find the best possible homes for our puppies.
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