Adoption Application
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Please fill in this form if you would like to be placed on our contact list for possible adoptions.  When a new dog enters our rescue program we generally look at the last six months of applications.

Press the "Submit" button when complete.

PLEASE NOTE THAT WE DOGS ALMOST EXCLUSIVELY IN COLORADO AND THE ADJACENT STATES.  OUR ADOPTION FEE IS $300.00.

Name:

 

Address 1:

City:

Zip:

Phone:

e-mail:

 
Are you willing to have a home visit prior to adoption Yes No
Is this an original application or an update to a previous application? Original Update
Why do you want a Bernese Mountain Dog?
Why do you want a dog from the rescue program rather than from some other source such as a breeder?
How many children or grandchildren are typically in the household?
What are their ages?
Do you have other animals? Yes No
What kind of animals do you have?
Please describe your home; apartment, condominium, townhouse,  or single family home.
Do you rent or own? Rent Own
Will the dog have access to a secure fenced area? Yes No
If yes, Please describe the type and height of the fence
Is there heavy shade available all day in the fenced area? Yes No
Where will the dog be kept during the day?  
Where will the dog be kept during the night?  
Is there someone at home during the day? Yes No
Can someone come home during the day to check on the dog and let him/her out? Yes No
On average, how many hours will the dog be alone during the day?
Do you prefer a male or female rescue dog? (Specifying no preference will increase your chances of getting a rescue dog) Male Female No Preference
What activities do you plan to do with your dog?  
Are you aware of the health problems of Bernese Mountain Dogs? Yes No
If so, name two of these prominent health problems.
Are you willing to adopt a dog with special health care needs? Yes No
Are you willing to adopt a dog with behavior problems? Yes No
How much do you anticipate it costs to care for a Bernese Mountain Dog per year?
Have you owned a dog before? Yes No
What breed(s)?
Who is your current veterinarian?
Would you like to be contacted about the availability of a Bernese Mountain Dog mix? Yes No
Have you ever surrendered a dog to a rescue program, pound, shelter, or placed a dog you owned in another home? Yes No
If yes, what were the circumstances of the placement(s)?
Philip Shaffer, pshaffer@bmd.org last update 11/27/2013