QUESTIONNAIRE

Date / Time

First Name *

Last Name *

Email *

Phone Number *

Street Address *

City *

State *

Zip Code *

Do you *

Please choose if you own or rent your home

Housing *

Please choose your current housing situation

Housing Location *

Do you have a fenced in yard, underground fence or wireless fence? *

How did you hear about us? *

Please let us know how you found us

Interested in *

Bloodhound Puppy
Bernese Mountain Dog Puppy
Adult Rescue or Retiree Bloodhound
Adult Rescue or Retiree Bernese

Please choose one or more

Puppy will be for *

Family Pet/Companion
Search & Rescue
Law Enforcement
Therapy/Emotional Support
Breeding

Please choose one or more

If interested in a Bloodhound, what is your color preference?

Liver & Tan
Black & tan
No Preference

Gender *

Male
Female
No Preference

Will this be an inside or outside dog? *

Inside
Outside
Inside with doggy door

When are you interested in adding a puppy (or adult dog) to your home? *

Will you agree to give Boerner’s Bloodhounds & Bernese Mountain Dogs updates, pics or post your pup in our Boerner’s Owner group on Facebook from time to time? *

Do you commit to caring for this dog for the remainder of his/her life? *

If for any reason whatsoever, should things not work out at any time or age of dog, do you agree to contact and/or return this dog to Boerner’s Bloodhounds & Bernese Mountain Dogs so that we can help find a suitable home, and NOT try to place this dog on your own or place in a shelter/rescue? *

Please provide any other relevant info you feel would help assist us in placing one of our puppies/dogs in your home

By adding your electronic signature, you are affirming that you have answered all questions truthfully and to the best of your knowledge *

Name

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