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Bernese Mountain Dog Club of the Rockies
Rescue Program Application
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Please fill in this form if you would like to be placed on our contact list for possible adoptions.  You will be contacted further only if you are a possible match with one of our rescued dogs.   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 THE BMDCR PLACES DOGS ALMOST EXCLUSIVELY IN COLORADO AND THE ADJACENT STATES.  OUR ADOPTION FEE IS $300.00.

Name:

 

Address 1:

Address 2:

City:

Zip:

Phone:

e-mail:

 

Questions:

Is this an original application or an update to a previous application? Original Update
Does everyone in the household want a Bernese Mountain Dog? Yes No
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 in the household?
What are their ages?
Do you have other animals? Yes No
What kind of animals do you have?
Will the rescue dog be kept in a fenced area? Yes No
Type of fence?
Height of fence in feet?
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
How much do you anticipate it costs to keep 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 11/23/00
Bernese Mountain Dog Club of the Rockies