Bernese Mountain Dog Club of Oregon

Name

Contact Phone

Street Address

City, State, Zip

Adult #1: Occupation

Adult #1: Work hours and days away from home per week:

Adult #2: Occupation

Adult #2: work hours and days away from home per week

Children living at home and ages

Do children often visit your home?

Have you ever owned a Bernese Mountain Dog?

If you have owned a Bernese, what happened to the dog?

What makes you want a Bernese Mountain Dog

What don't you like about Bernese Mountain Dogs?

What other breeds are you considering?

Why do you want a rescue/re-home dog?

Home type

Single Family Home - detached
Duplex or tri-plex
condominium or apartment

Are you planning a move soon?

If you are planning a move, describe the type home to which you are moving. Will you have a yard? Will it be fenced? Will you have acreage? Do you have a dog run?

Type and height of fencing:

If you have no fencing, will you be adding it soon?

Will the dog be confined (fenced) or free to run:

Where will the dog spend most of the day?

Inside
Outside
Kennel
Other

If you have no fenced area, how will you exercise and provide bathroom breaks for your dog?

Where will the dog sleep?

What are your plans for the dog when you are away overnight or longer?

Do you have any pets now?

If yes, is your pet(s) spayed/neutered?

List your pet(s) type(s) and age(s)

If you do not have pets, have you ever owned them?

If yes, what happened to your former pets?

Does your community have a limit on the number of pets allowed per home?

If yes, what is the limit?

Have you taken any obedience classes with one or more dogs?

If yes, where and when?

Have you and your family carefully considered how a dog will fit into your lifestyle?

Do you have time to brush a large, long-haired dog each week?

Are you aware that it is more expensive to own a large dog? NOTE: vet care, grooming, feeding, etc. all cost more.

Are you prepared for the fact that most Bernese Mountain Dogs only live 7 to 9 years?

Are you aware that Bernese shed extensively and can tail-wag objects off a table?

Describe a typical weekday for your dog

Describe a typical weekend day for your dog

Would you prefer a:

Male
Female
Either

Would you consider an older dog (6+ years)?

Would you consider a dog with special health or behavioral needs?

Do you have experience dealing with special health or behavioral needs? Please describe.

Will you allow a Rescue representative to visit your home?

Will you agree to return the dog to the BMDCO Rescue Program should some unforseen circumstance prevent you from keeping the dog?

If you have owned dogs before, what did you enjoy most about the experience? (if you have not owned dogs, answer this question with what you believe would be most enjoyable)

If you have owned dogs before, what was difficult for you? (if you have not owned dogs, answer this question with what you believe would be most difficult)

Please describe the characteristics of the ideal dog for you and your family.

An adoption donation will be requested if a dog is placed with you. This is necessary in order to continue our work. We refuse the right to refuse any applicant. By typing your name below, you agree to these terms.

Date

Two references are required. Please Include name and email/phone number. If possible, please include a veterinarian you have frequented and dog-related contacts. Reference #1

Reference #2