09/16/2022: Hello, Please Copy, and paste this form into an email, then fill it in, please include your email address in the "Comments" box. and

email to me. My form sending code is not working reliably right now.

UPCOMING LITTERS / ADOPTION QUESTIONNAIRE

 

Koby

UPCOMING LITTERS / ADOPTION QUESTIONNAIRE

                         WE MAY HAVE PUPPIES AVAILABLE - UPDATED - 09/24/2022 

 

Hi, If you would like to be considered as a potential home for one of our puppies please fill in the following questionnaire and submit it to us.
After receiving it I will e-mail you with more details.
If you don't hear from me after submitting your questionnaire, please write or call.

If you have trouble sending the form try highlighting the form, copying it, then pasting it into an e-mail to me.
If you wish to fax the form you will need to e-mail me to set up a time to fax when I am offline.

 

Please understand, this is NOT a form to purchase a puppy, this form is only to notify us that you would be interested in being considered as a prospective home, and helps us determine the suitability for puppy placement.

Please feel free to email or call us if you do not hear from us within (24) hrs. of submitting your form to verify we received it. Thank you! Mary.

Name(s)  
Email Address  
Home Address  
City  
State  
Zip Code  
Home Phone  
Work Phone  
Occupation  
Occupation  
Do You Have Children?  
Boys? Girls? Ages?  
Male Or Female Puppy?  
What Type Puppy Interests You?  
Do You Have A fenced Yard?  
Where Will Puppy Stay At Night?  
Where Will Puppy Stay During The Day?  
Can you take the puppy to work with you?  
If you work away from home will someone be home to care for the puppy?  
Who will raise the puppy?  
Do You Have Dogs?  
Do you have other pets?    
What Kind ?  
Have You ever owned a Dog?  
Large or Small Breed?  
Have You Ever Owned A Bernese Mt. Dog?  
If Yes, Who is/was your BMDs breeder?  
Are you willing to complete puppy obedience classes with your puppy?  
Have you ever raised a litter of puppies?  
Are you or have you in the past been a member of a Dog Club?  
Do you know what crate training is?  
Are you or any family /household members allergic to dogs/dog hair/dander?  
Do You Have A Regular Veterinarian you use?  
If yes - Vet's Name Address and Phone Number  
When will you be ready for a puppy to join your family?  
Comments: Please use this text area to tell us about yourself/family and why you have chosen to adopt a BMD, and Why you feel you can provide a good home for one of our "babies."  
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