ASA Puppy Waitlist Questionnaire ASA Puppy Waitlist Questionnaire We would love to hear from you! Please fill out this form and we will get in touch with you shortly. Prospective Owner ApplicationPlease use this form to tell us more about yourself and the type of pet you are looking to add to your family. PLEASE NOTE: After you submit your answers to the questions below, someone from the ASA Club will contact you to discuss our placement program. YOU WILL NEED TO RESPOND BACK to acknowledge the terms, and then we will place you on our waitlist. Thank you for your interest! The current price for a puppy is $3000.Date YYYY MM DD About YouTell us a little about yourself. Don't be shy. Let's be friends.Your Name* First Last Spouse or Partner's Name First Last Your Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country What is the Best Way to Reach You?Our breeders and the puppy mediators will want to chat with you. How can we get in touch with you?Preferred Method of Contact*EmailPhoneYour Email Address* Your Phone*Best Time to Call You*Select A Best Time To CallSelect A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmLet's learn more about your desire for a Stabyhoun!How did you discover the Stabyhoun breed and what about it attracts you?What areas of dog ownership interest you the most for your prospective dog?* Select All Obedience Rally Agility Hunting Therapy Work Scenting/ Barn Hunt Conformation Do you have a gender preference? If so, why?* I have no preference. Either Sex will be OK with us. Male Female If a puppy of your preferred gender is not available, would you want to be considered for one of the opposite sex?* Yes No Not sure Have you owned dogs before? If so, when? What breed? What happened to your dog(s)?*Do you currently own any dogs or other animals/pets? If yes, what type, breed, age and sex.*In reference to any other pets or animals, and if you answered yes, have they been around a puppy or dog before and if so, how did they react?Let's now learn more about how a pet fits into your family life.Please provide a list of all the people in your household. Include yourself, spouse/partner, children and other live-ins. State the name, relationship and age:*Please indicate the type of dwelling in which you live:* Single Family Home Apartment/Condo Other How long have you lived at this address?*Do you own or rent your residence?*What line of work do you (and/or your spouse) pursue?Does anyone in your household have allergies to dogs or dog hair? Stabyhouns are not an allergy-free breed.* Yes No Not sure Is there someone at home during the day to care for the dog? If not, what arrangements will be made to feed and exercise your dog?* Yes, someone will be home No, only in the evenings Other Arrangements will be made (describe below) Who will be the primary care giver of your dog?*How many hours a day do you plan to be with your dog?*Please describe a typical weekday, including your normal activities, at your home.Please describe a typical weekend, including your normal activities, at your home.*Where will your puppy be sleeping at night?*Where will the puppy stay when left alone?*What do you plan to do with your dog when you are away from home overnight or go on vacation?*Is your yard fenced? Type of fencing and height?*How do you plan to exercise your dog?*Do you plan to take your Staby to Puppy socializing class?*Do you plan to take your Staby to Obedience Class for further training?*How would you teach your dog to sit?*How do you plan to house train your puppy?*What are your thoughts on crate training?*How do you feel about the fact that this dog will shed hair?*Do you know what socialization is and why it is so important?*How long has it been since you attended a dog training class? What type of classes did you attend?*Okay, now let's discover your future hopes and plans for your puppy?Do you plan to have your Stabyhoun neutered or spayed? Why?*Would you be interested in breeding with your Stabyhoun, and why?*Have you ever bred a dog and/or raised a litter of puppies?*Let's get real! How far will you go and when are you ready?As the Stabyhoun breeders are scattered throughout the US and Canada, and we do not cargo ship our pups, pups need to be picked up by car or by flying with the pup in the cabin of an airplane. How far are you willing to travel to get a puppy, if none are available in your area?*When is the earliest date that you would be ready to take ownership of a puppy?*Please list (at least two) references, one being your vet, if you have one. Including Name and address.*Please add anything about yourself and your family that would help us to understand the type of Stabyhoun that would best fit your home and lifestyle:Let's just recap the essentials.The current price for a Staby is $3000 US in both the US and Canada. Please check that you have read this and understand.* Yes No I will keep in touch periodically to maintain my interest in getting a puppy.* Yes No By clicking, I agree this information is correct.* I agreeThank you for your interest in the Stabyhoun!