Steward Application If you are interested in participating in our Stewardship Program, please complete and submit the application below and we will follow up with you. Questions with asterisks must be answered. Contact Information Name * First Name Last Name Business Title/Occupation * Company/Employer * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Home Phone (###) ### #### Mobile Phone * (###) ### #### Business Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Business Email Business Phone (###) ### #### Family & Household Information Marital Status * Married/Common Law Single Spouse Name If Applicable First Name Last Name Spouse Business Title/Occupation If Applicable Spouse Company/Employer If Applicable Do you have children? * Yes No If so, please list names and ages If you have young children, what is your plan for managing child-dog interaction? Who lives in your home? * Please provide names as well as relationship to you if not your spouse or children Do you currently have any pets? * Yes No If so, please list species and ages Are they altered or intact? Altered Intact If you have pets, please describe your annual wellness protocol for them Are any family members allergic to animals? * Yes No If yes, to what animals and how severe is the allergy? Do you rent or own your home? * If you rent, authorization from your landlord will be required Rent Own Type of Home * Fully Detached House Semi-Detached House Townhouse Condo/Apartment Mobile Home Do you have a fenced yard? * Yes No If yes, how high is the fence? If no, will you commit to installing a fence if your application is successful? Yes No What is the approximate size of your yard? Do you or any members of your family smoke in an enclosed space such as your home or vehicle? * Yes No Dog Experience Have you owned a dog before? * Yes No If yes, please list the breed/mix and gender for each dog Have you ever owned a German Shorthaired Pointer or Welsh Springer Spaniel? * German Shorthaired Pointer Welsh Springer Spaniel Both If yes, please list the breed, name (including registered name) and any titles for each dog If you have owned a GSP and/or WSS, where did you acquire your dog from? If you have owned dogs, please detail the end of life circumstances for each dog Have you ever trained a dog before? * Yes No If yes, please describe your experience, methodologies used and training outcomes Have you ever house-trained a dog or puppy? * Yes No Have you ever sold or given a pet away? * Yes No If yes, please describe the circumstances Have you ever returned a puppy or dog to a breeder? * Yes No If yes, please describe the circumstances Have you ever surrendered a dog to a shelter or rescue organization? * Yes No If yes, please describe the circumstances Stannyfield Puppy or Dog Details What breed are you interested in? * German Shorthaired Pointer Welsh Springer Spaniel Both What attracts you to that breed? * If you answered "both" above, please describe your attraction to each Why are you interested in a puppy or dog from Stannyfield? * Who will be the primary caregiver of your puppy/dog? * First Name Last Name Ideally when would your puppy or dog join your family? * ASAP Any time within the next 6mo Any time within the next 12 mo Any time within the 24 mo Not within the next 12 mo, but within 24 mo Other Please provide additional detail with regard to your answer above on timing Who will pay for your puppy/dog? * First Name Last Name Do you have a gender preference? * Male Female No Preference Where will your puppy or dog live during the day? * Will someone be home for a portion of the day? * Yes No If so, who? First Name Last Name How long will your puppy be left alone during the day? * 1-2 Hours 2-3 Hours 3+ Hours Where will your puppy or dog sleep at night? * What goals do you have for your Stannyfield puppy or dog? * Will you attend training classes with your puppy? * Yes No If yes, what type of training classes will you take and at what school? Have you ever shown a dog to its championship or competed in any performance events with a dog? * Yes No If yes, please provide detail Have you ever hunted over a dog? * Yes No Have you ever bred a dog? * Yes No If yes, did the breeding produce a litter? * Yes No N/A Are you committed to crate training your puppy/dog? * Yes No Why or why not? What will you feed your puppy, then adult? * Will you take out a pet insurance policy on your puppy? * Yes No Why or Why not? * Stewardship Program Details Why are you interested in participating in our stewardship program? * What is your understanding of how our stewardship program works? * Do you have experience managing and caring for an adult, intact male or female dog? * Male Female Both No Please describe your management protocol of an intact dog Be specific about the gender(s) you have experience with Are you comfortable having your dog spend periods of time away from your family for activities such as performance events, health testing and breeding? * Timing varies based on event (e.g. a veterinary appt vs. whelping and raising a litter) Yes No Not sure-need more information References 1. Personal Reference #1 * First Name Last Name Relationship to you * Email * Phone * (###) ### #### 2. Personal Reference #2 (non-familial) * First Name Last Name Relationship to you * Email * Phone * (###) ### #### 3. Landlord (if applicable) First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone (###) ### #### 4. Current or Previous Veterinarian (if applicable) If you don't currently have a vet and haven't for the past year, skip this reference First Name Last Name Clinic Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email Phone (###) ### #### Additional Information Please share any other relevant details to support your application How did you find us? * Search Engine GSP Club of Canada WSS Club of Canada Canadian Kennel Club Website Stannyfield Owner Word of Mouth Other If you answered "other" above, please provide detail Thank you for taking the time to complete and submit a puppy application. We will follow up with you within 48 hours of receiving your application. Team Stannyfield
