Puppy Application Form
Share your details and tell us about your home and experience with puppies.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Do you currently have any pets?
*
Yes
No
Have you ever owned a dog before? If yes, what breeds have you owned, and if you do not still own the dog(s), tell me what happened to the dog(s)?
*
Do you currently any dogs? If yes, please tell me the breed and age of your dogs:
Do you own any other non-canine animals? If yes, please list them:
*
Have you ever owned an English Springer Spaniel before? If yes, please tell me about it:
What made you decide to want to purchase an English Springer Spaniel?
Do you prefer male or female, and why?
Do you have a color preference?
Black and White
Liver and White
Tri colored
No preference
Would you consider a puppy of another color or sex if your preference is not available?
Yes
No
Do you have a fenced yard?
*
Yes
No
If yes, please describe the type of fence (chain link, wood privacy, etc.) and the fence height.
If no, please describe your plans for safety during toileting and exercising your dog:
Number of adults in your household
*
Number of children in your household, and ages
*
How soon are you looking to get a puppy?
What activity level are you comfortable with in a dog?
Low activity
Medium activity
High activity
Do you plan toparticipate in any of the following activities with your English Springer Spaniel?Check all that apply:
Conformation
Obedience
Agility
Nose Work
Dock Diving
Therapy Work
Flyball
Breeding
Other
If you are not planning on showing or breeding, would you be willing to have your pet spayed or neutered no sooner than two years of age?
Yes
No
If you are not planning on breeding or showing, but we determine that your pet would be valuable to our breeding program, would you consider allowing us to show and/or breed your dog under our supervision and at our expense?
Yes
No
I need more information before I can decide.
All of our puppies are microchipped and sold on a co-ownership contract to ensure that our puppies never end up homeless or in a shelter. We require that we remain as a contact on the microchip registration. We require our puppies to be returned to us if there is ever any reason you can no longer keep them. Is that a problem?
These requirements are no problem.
I do not agree with these requirements.
I need more information before I can agree.
As we spend the first many weeks of our puppies lives socializing and training them, we are in a unique position to help determine which puppy is right for you based upon your circumstances and preferences. While we try to honor sex and color choices, ultimately, we decide which puppy’s personality will be the best fit for your family. Do you agree to allow us to make that decision?
Yes
No
I can agree to allow you to choose, but my preferred sex is a deal breaker.
I can agree to allow you to choose, but my preferred color of the puppy is a deal breaker.
Is anyone in your home allergic to dogs? If yes, please explain how the allergy will be controlled:
Are all members of your household comfortable in the presence of a puppy that could nip, jump, and chew during its training stages?
Yes
No
Not yet, but we are working on it
What are your plans for training and exercising your English Springer Spaniel?
Are you comfortable owning a breed of dog that sheds moderately?
Yes
No
Are you comfortable owning a breed of dog that requires regular grooming?
Yes
No
On average, what do you expect to spend per year on food, veterinary care, and other necessities for your English Springer Spaniel?
In order to monitor the health of our breeding program we perform regular health screens, and ask our puppy buyers to do the same so we get a full picture of the health of the animals we are producing. Are you willing to do health testing periodically throughout your dog’s life? (i.e. CAER eye checks, OFA hip/elbow checks, genetic testing, etc.)
Yes
No
I need more information before I can agree
Have you spoken to any other English Springer Spaniel breeders about their program or getting a puppy? If yes, please list them:
Are you currently on a waiting list for a puppy with any of the breeders you listed? If yes, with who?
Are you interested in being contacted about rescued English Springer Spaniels or older dogs needing placement if we should come across a dog we feel would suit your family? Please check all of the following you would consider:
Any rescue, no matter age, color, or circumstance
Any rescue under the age of 2
An older dog retiring from showing/breeding
I'm open to all opportunities but prefer an older dog
It would depend on the circumstances, but I would consider any available dog who needs a home
I am only interested in a puppy
Do you own or rent your home?
Own
Rent
Other (live with family or friends, life estate in another's property, etc.)
Type of dwelling?
House
Apartment
Condo
Mobile Home
RV or Trailer
If you are renting or staying with others, do you have permission to own a dog on the property?
Yes
No
Where will this dog spend time during day (check all that apply):
Loose indoors
Basement
Kennel run indoors
Kennel run outdoors
Tied up outside
Garage
Loose Outdoors
Crate
Fenced yard
Other
Of the above options,where do you anticipate the dog will spend the majority of the time during daytime hours?
Of the above options, where do you anticipate the dog will spend the majority of the time during nighttime hours?
What type of personality are you looking for in a dog?
Please list two references, such as a veterinarian, persons active in dogs, or close acquaintances. Include a phone number and e-mail address for each reference:
If you currently own pets (or have an established veterinarian), please provide the name, location, and phone number of your veterinarian:
How did you find out about Songbird English Springer Spaniels?
Please understand that we do not have puppies available at all times, and there may be a wait. We also do not produce enough puppies to sell one to every person who contacts us. We sometimes have to say no to potential buyers, not because we do not think they would provide a great home, but because we strive to place our puppies in homes they will be most likely to do well in. This can sometimes depend on the puppy's personality, the needs or wants of the family, the number of puppies available, and other factors we must consider when placing the limited number of puppies we produce. We are happy to provide references to other responsible breeders if we are unable to sell you a puppy and ask for your understanding if we are unable to place a puppy in your home.
I understand
I believe it should be first come first serve, and you are not the right breeder for me.
Save
Submit Application
Should be Empty: