Canadian Bernedoodles Application Form

Bernedoodle Application Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Cell Phone*

Area CodePhone Number
E-mail Address*
What is your occupation?
Do you own or rent?

OwnRent
What type of Home*

TownhouseApartmentSingle FamilyOther
Do you have a yard*

Fenced yardUnfenced yardNo yard
How many children live at home?*
What Ages?
Will this be your family's first dog?*

YesNo
Does your family have a dog now?*

YesNo
Please tell us how many, what breeds, and ages
Do you have other pets?*

YesNo
Please tell us what kinds*
Does everyone in your home want a puppy?*

YesNo
Will the puppy be a surprise gift?*

YesNo
Have you ever raised a puppy?*

YesNo
Have you ever had to give up a dog?*

YesNo
Reason?*
Are you a breeder?*

YesNo
Please Comment.*
When do you want a puppy?*

Current litterWait list
How did you hear about us?*

Client recommendationWebBreeder ListKijijiFacebook
Are you prepared to spay/neuter your puppy*

YesNo
Why not?*
What type of personality do you want?
What gender of puppy?*

MaleFemaleN/A
Are you prepared to invest the time and assume the responsibility required to raise a puppy?*

YesNo
Are you willing to commit to on-going veterinary care?*

YesNo
Will you provide a loving home and keep your puppy healthy and safe?*

YesNo
Will you crate train your puppy? (optional)*

YesNo
Where will the puppy stay during the day?*
Where will the puppy sleep at night?*
Will the puppy be alone during the day or at night?*

YesNo
What plans will you make to provide breaks and play time when the puppy is alone?*
Do you understand a puppy will need to be taken outdoors frequently for potty breaks?*

YesNo
We request that if at anytime you find you are unable to care for your Bernedoodle that you return him/her to us.We promise to work with you to find him/her a new loving home.

I certify that the information provided on this application is true and correct.

I am also financially and physically able to care for this puppy. I understand that proper food, veterinary care, grooming, and obedience training can be costly and I am able to meet these requirements. By signing below, I acknowledge that I have completely read this questionnaire, answered to the best of my knowledge, and confirm my intention to purchase a Bernedoodle puppy.

Putting your full name in this form space below constitutes your electronic signature:
Electronic Signature*

PrefixFirst NameMiddle NameLast Name
Enter the message as it's shown*
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Bernedoodle Application Form