Name:
Address:
City, State, Zip
Phone
Email
How long have you lived at this address?
Do you own or rent?
If rent, provide copy of lease stating landlord approval for dogs
Do you have a fenced in yard?
How do you plan on exercising your puppy?
How many people are in you household?
Any children? If yes, list ages
Color of puppy wanted?
Are you willing to accept a different color if available sooner?
Gender of puppy wanted?
Are you willing to accept a different gender if available sooner?
Is everyone in your household in agreement about getting a puppy?
Are you prepared to care for a dog for 12-15+ years?
What do you believe is the annual expense of caring for your puppy?
Do you currently have any pets? if so please list
How many hours per day will the puppy be left alone?
Where will the puppy live?
Who will be the primary caretaker of the puppy?
How do you feel about crate training your puppy? (please explain)
Do you plan to attend an obedience class when your puppy is old enough?
Do you agree to spay/neuter your puppy before 10 months of age?
English Springer Spaniels require several hours of exercise per day. How do you plan on keeping your puppy fit, happy and healthy?
What food are you planning on feeding your puppy?
Do you agree that, if at any time and for any reason, you are unable to keep your puppy that it is to be returned to us?
Does anyone in your household have allergies? (if so, to what?)
By signing this application you are asking Elario Springers to put your name on our waiting list for an English Springer Spaniel puppy. Your application must be returned to us in order for your name to be added to our waiting list. A deposit of $500.00 made payable to VIRGINIA ASHE will be collected once your puppy has been born. The remaining balance is due when your puppy reaches 6 weeks of age. Should we be unable to provide you with a puppy within 9 months your deposit will be refunded in full. You further understand the Elario Springers works off a waiting list and that we will provide you a puppy in the order your application was received. You also understand that at the time of pick up or before shipping you must sign our Puppy Purchase Contract and agree to all the terms therein.
____________________________ _______________
Applicant Signature Date
Return Appliction to:
Elario Springers
Virginia Ashe
307 Breckenridge Street
Palmer, MA 01069