CONTACT US

Name *

First Name

Last Name

Date *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you previously owned a Bernese Mountain Dog? *

Yes

No

Is a Bernese Mountain Dog the only dog breed you are looking at? *

Yes

No

Are you familiar with the grooming needs of a Bernese Mountain Dog? *

Yes

No

Are you aware of the health concerns of the Bernese breed? *

Yes

No

Are you willing to wait for a puppy? *

Yes

No

Do you presently have other dogs at home? *

Yes

No

Do you have children at home? *

Yes

No

Have you ever had to re-home or euthanize a family pet? *

Yes

No

Are you willing to spay or neuter a dog? *

Yes

No

Are you willing to abide by a contract to includes such things as registration, health, insurance, non-breeding, and general care requirements? *

Yes

No

Are you on any other waiting lists or have a deposit with any other breeders? *

Yes

No

Do you live in: (check all that apply) *

City

Suburb

Country

Townhouse

House

Apartment

Is your yard securely fenced? *

Yes

No

Are you willing to enroll in dog obedience class? *

Yes

No

Please identify your preferences of Bernese Mountain Dog: (check all that apply) *

Male

Female

Male / Female / No Preference

Small

Medium

Large

Size doesn't matter