So, you think you might want to add an English Springer Spaniel to your family?

If so, please take the time to complete this questionnaire. Your answers will permit us to more effectively match a puppy’s needs with your life-style and requirements. We do require that a questionnaire be completed in order for you to be considered as a forever home for one of our Springers, so please complete this document is its entirety.

Full name

Email address:

Secondary email address:

Home phone number:

Cell phone number:

Work phone number:

Do you prefer contact through email or phone?

Best time to call:

Complete home address:

Do you Own or Rent your home?

Do you have a fenced yard?

If yes, please describe fence (type, height, etc.)

Do you currently own any other pets?

Are your pets spayed or neutered?

Please provide your veterinarian’s name and phone number:

If you have owned dogs in the past that are no longer part of your family,Like to ask what had happen to them?

Where will the dog stay during the day?

At night?

How many hours (maximum) do you anticipate the dog will be without human contact each day because of work, etc.?

Where/how do you plan on having the dog cared for while you are on vacation or traveling?

Have you ever completed a formal training class with a dog in the past? (If so, please provide details of your experience)

Why are you interested in owning an ESS?

Have you done your research and are you knowledgeable about the health concerns in ESS?

Please detail any specific concerns you have?

Have you ever owned an ESS before?

Have you ever had expirence on grooming /maintenance of a ESS?

What are the personality characteristics you find most appealing about ESS?
(check as many as apply!)

Active	Gentle	A one person pet
Affectionate	Happy	Passive
Aggressive	Hardheaded	Playful
Attentive	Hyperactive	Protective
Calm	Independent	Quiet
Confident	Intelligent	Reserved
Demanding	Loyal	Shy
Dominant	Loving	Sensitive
Easygoing	Mannerly	Sociable
Friendly	Obedient	Submissive

What type of ESS are you interested in (check all that apply):

Young puppy	Older puppy (4 months to 1 year)	Adult/Retired Champion	Rescue dog
Male	Female	Either

I am interested in doing the following activities with my puppy:

Conformation (show)	Obedience	Agility	Hunting
Therapy	Breeding	Pet Only

PERSONAL DATA

Age:

Occupation:

Relationship Status:

Married/Long term relationship

Single

Widowed

If married or in a long term relationship, please share the name and occupation of your significant other:

Does your significant other know and approve of owning an ESS?

Are you (and/or your significant other) required to travel for business?

Do you have children? (if yes, please list their names and ages):

Please list 3 references, their relationship to you, their full addresses and phone number (including email addresses if available). This information serves the dual purpose of assisting in the verification of your form and provides an alternate method of contacting you with important information should your primary contact information change:

FIRST REFERENCE
SECOND REFERENCE

THIRD REFERENCE

FOURTH REFERENCE

Is there anything else you’d like to share with us?

How did you hear about Soaring English Springer Spaniels?

A friend	Web Search	Breeders List
Other source/please explain:

Please be aware that Soaring Springer's  reserves the right to refuse to provide a puppy to ANY applicant for ANY reason.

Please note, to ensure fairness and equitable value to all parties—especially the breed:

ALL of our puppies are sold with a contract.

Please inform of us your goals and desires prior to purchasing your puppy so the right contract and the right puppy can be matched to your needs and desires.

It is VERY important for us to match the temperament of a puppy with a caring and responsible family whose activity and experience levels will provide the greatest success for that puppy. Temperament considerations are of primary importance in these decisions. Keep in mind that color and gender are secondary characteristics when it comes to creating a "match" between a puppy and a family.

All of our puppies leave our home already micro-chipped. As part of our role as a responsible breeder, we require that our name be listed as the secondary emergency contact should the puppy ever be lost or find its way into a shelter. This helps us to keep track of the puppies that we bring into this world. If you, for whatever reason, ever need to place or re-home a Soaring ESS puppy, it is understood that as the breeder we will be the first person you will contact.

We believe all puppies are family members and companions FIRST! Good companion homes may be given priority over a show home. Companion animals are sold on LIMITED registrations and on spay/neuter contracts only. A LIMITED registration allows a puppy to be registered with the American Kennel Club and compete in AKC events, but disallows any further progeny from registration.

A copy of our Pet or Show contract is available for your review prior to placing a deposit for a puppy. If, after we have received your completed questionnaire and we have had a chance to talk on the phone, we jointly agree that a Soaring ESS puppy is right for you, then we will ask for a non-refundable, good faith deposit to hold your puppy. The reason the deposit is non-refundable is that once we have committed the entire litter to forever homes, we refer inquiries to other breeders. If a prospective owner decides not to take a puppy, we must then begin the process of finding that puppy a new family.

When you purchase a puppy from us, you also purchase our commitment to your family, the breed as a whole, and first and foremost, the puppy itself. We want you to be happy and content with your pup AND with us, as breeders and protectors of the ESS. We also want your pup to be happy and content with YOU. All guarantees are in writing and included in our contract.

We expect and anticipate to follow all puppies through their lifetimes, supporting the needs of the pup and their family to maximize the "water dog experience." Acquiring a puppy from Soaring ESS is the beginning of a relationship - - we seek to mentor new owners while also being mentored ourselves by ESS friends with decades of experience in the breed.

Please let us know if we can answer any questions for you.
Thank you for your interest in a SOARING ENGLISH SPRINGER SPANIEL!

Deborah Keays

10 Hunt Ave .

Hudson Falls NY. 12839