Puppy Application Form

How did you hear about It's a Wonderful Life Bernedoodles?
Full Name*

First NameLast Name
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number - Home

Area CodePhone Number
Phone Number - Cellular

Area CodePhone Number
Phone Number - Work

Area CodePhone Number
Do you live in a:
Do you:

OwnRentLive with ParentsOther
If Renting: Please indicate landlord contact information. (NOTE: If you rent, a signed letter from your landlord stating that dogs are permitted on his/her property must be received before a puppy will be placed with you. The Breeder reserves the right to contact the landlord before placing any puppy.)
Household Setting

RuralSuburbanUrban
If you were to move, what would happen to your dog?
Are there any dog restrictions or laws in your area? Have you checked into local ordinances in your area pertaining to owning/housing an animal (e.g., leash laws, required vaccinations, dog licenses, etc.)? Are you willing to comply?
Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Does Anyone in your Household have Allergies to Animals?

YesNo
Are all members of your Family agreeable to getting a Dog?

YesNo
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)*
Are you willing to use a crate for a dog if recommended?

YesNo
Do you have a fenced yard?

YesNoPartial
If yes, size of yard, type and height of fencing.If no, please explain what arrangements you will provide for housebreaking and for safe and adequate exercise.
E-mail
Why do you want a Bernedoodle?
Are you acquiring a dog for yourself or for someone else? (If for someone else, are they aware of your intentions, or is the dog to be a surprise?)
If you are married, how does your spouse feel about the addition of a Bernedoodle?
Do you have children living with you or visiting regularly? (If yes, please note gender and ages)
How do they feel about the addition of a Bernedoodle?
Are you prepared to teach any resident or visiting children the proper way to conduct themselves around dogs?
Who in your family will be primarily responsible for: - daily care of the dog - clean up - training - exercise - vet and food bills
How would you describe your household activity level?

Very QuietRather Easy GoingUsually Something Going OnLots of Activity
Where will the dog spend most of its time?
Where will the dog be when you are at home?
Where will the dog be when you are away?
How long each day will the dog be alone?
Where will the dog sleep?
How did you learn about Bernedoodles?
Have you considered other breeds? If yes, what breed(s) and why?
For each dog you currently own, please list the following: Name – Breed or mix – Sex – Age – Is pet spayed or neutered?
For each dog you have owned in the past 10 years, please list the following:Name – Breed or mix – Sex – Age – Was pet spayed or neutered? – Why do you no longer own the animal? (If deceased, please give age at death and cause of death.)
Do you have other pets? If yes, please list.
Will you commit to training the dog or having a professional trainer work with you?
Have you ever used a crate in housetraining a puppy or dog? Do you intend to use a crate for this dog?
What will you do with the dog when you go on a vacation trip?
In the event of emergency (e.g., hospitalization, natural disaster, etc.), who would take care of your dog? If you have to be away from home for a few days and are unable to take the dog, what arrangements will you make to provide for its care?
When you travel with the dog, where will he/she ride?
How do you envision a dog fitting into your home (schedule, indoor/outdoor activities, exercise, etc.)?
Have you or anyone in your household ever been charged with animal cruelty or had any animal taken away from you or any member of your household for suspicion of animal cruelty?If yes, please explain.
Have you or any person in your household ever been suspended privileges by the American Kennel Club, the United Kennel Club, the Canadian Kennel Club, or any other such club?If yes, please explain.
If you were to move, what would happen to your dog?
Do you prefer a male or female?

MaleFemaleEither
Please describe any physical attributes that are of particular importance to you in the puppy/dog you are seeking at this time?
Are you prepared to spay/neuter your dog, or are you interested in breeding?
What are your goals for your dog?

BreedingAgilityHerdingSchutzhundObedienceFlyballRallyTherapy DogSearch & RescueAssistance DogMessenger DogFamily PetOther
What do you expect of your Bernedoodle?
Please describe any character attributes that are of particular importance to you in the puppy/dog you are seeking at this time?
What do you expect of your dog’s breeder?
Are you aware of the grooming requirements of the Bernedoodle?Are you prepared to spend the required time grooming your Bernedoodle?
In addition to the normal routine at home, what activities will your puppy have?

Walk routinely with a family memberGo to classesCompete in dog shows or performance eventsGo to your place of business with youTravel with youBe a playmate for your children or petsOther
Have you ever trained a dog? Attended training classes? If yes, please describe how you trained and what commands were taught.
Are you aware of the SOCIALIZATION AND TRAINING requirements of the Bernedoodle?
How do you intend to obedience train your puppy?

On your Own?With a Trainer/Trainer?
Do you belong to any dog or dog sports club(s)? If yes, please list.
Type a question
Have you ever experienced any behavior problems with past or present pets? If yes, how did you handle those problems?
Are you prepared for the responsibility of caring for this dog for its entire life (10-12 years)?
Please add any additional information or thoughts that you feel would help me to understand you as a potential Bernedoodle owner and the home you can offer the dog.
What questions do you have for me?
Please list your veterinarian information and 2 personal references (dog trainers, friends, neighbors, etc.—not including immediate family)
Vet Reference: Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Reference #1: Full Name*

First NameLast Name
Relation to applicant(s):
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Reference #2: Full Name*

First NameLast Name
Relation to applicant(s):
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
By signing this questionnaire, I affirm that all statements made above are true to the best of my knowledge. (If you are submitting this form via e-mail, please type your name in the signature line. I will require a signed copy before placing a puppy.)
Your name*
Date

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