Saint Bernard Rescue of NE

ADOPTION APPLICATION
Saint Bernard Rescue of New England requires that all potential owners fill in a pre-adoption form. We work very hard to make sure that the saint we place in your home will stay there for life. Once you have submitted tthis form, a volunteer will contact you as soon as possible.

Contact Info:

Name:
Address:
City, State, Zip:
It is necessary to provide two contact numbers:
Home Phone Work Phone Cell Phone FAX:
Email Address: Please enter email again:

Other Pets:

1. What other types of pets have you had in the past three years?

Breed	Gender	Age	Spayed/neutered	Living or Deceased
			Yes No
			Yes No
			Yes No

2. Why do you want to adopt a Saint Bernard?
Personal protection To breed For my children Gift Guard dog
Other:

General Information:

3. Please indicate the following about your household:
How many adults are in the home?
Number and ages of each child in your home:

4. Does anyone in your household have an allergy to dogs? Yes No

5. Which member(s) of your family will feed and care for the dog?

6. This Saint will be home alone for hours per day.

7. I/we live in a: House Condo Apartment Mobile home Other

8. I/we: Own Rent
If renting, please list landlord’s name and phone number

9. Do you have a fenced yard? Yes No
If yes, please describe:
Height: Type: Size of fenced area:

10. During the day the Saint will be in the: House Yard Garage Other

11. During the night the Saint will sleep in:

12. Are you aware that the veterinarian bills for a Saint Bernard may run between $100-$500 per year? Yes No

13. When I/we go away for a few days, the dog will be cared for by

14. If you own a pickup, will the dog ride in the back? Yes No

15. Have you ever obedience-trained a Saint? Yes No
Another breed? Yes No
If yes, what breed?

16. Do you realize that Saints often weigh over 100 pounds, shed profusely, often drool or slobber, and are prone to hip problems? Yes No

17. Are you aware that the average lifespan of a Saint Bernard is 10 -12 years? Yes No

18. Are you aware that Saint Bernard Rescue charges an adoption fee? Yes No

19. Preference:
Male Female
Longhaired Shorthaired
Approximate age: under 1 1-3 3-5 older

Vet Information:

Name of Vet Clinic:
Dr.'s Name:
Address:
City, State, Zip:
Phone:
Fax:

Other:

Why do you want to adopt a saint?

Please tell us a little about your family and your dog experience:

By clicking SUBMIT below I certify that the information I have given is true, and any misrepresentation of facts may result in my losing the privilege of adopting a Saint Bernard through the Saint Bernard Rescue Foundation, Inc.

You may also print out this application and mail it to:

Saint Bernard Rescue Foundation, Inc.
ADOPTION APPLICATION
c/o Judy Bredin-Graham,
64 Tanbark Road
Sudbury, MA 01776-2659

Last Revised 2/1/2007