Canadian Bernedoodles Application Form

Bernedoodle Application Form
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone *

Area Code Phone Number
Cell Phone *

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

Own Rent
What type of Home *

Townhouse Apartment Single Family
Do you have a yard *

Fenced yard Unfenced yard No yard
How many children live at home? *
What Ages?
Will this be your family's first dog? *

Yes No
Does your family have a dog now? *

Yes No
Please tell us how many, what breeds, and ages
Do you have other pets? *

Yes No
Please tell us what kinds *
Does everyone in your home want a puppy? *

Yes No
Will the puppy be a surprise gift? *

Yes No
Have you ever raised a puppy? *

Yes No
Have you ever had to give up a dog? *

Yes No
Reason? *
Are you a breeder? *

Yes No
Please Comment. *
When do you want a puppy? *

Current litter Wait list
How did you hear about us? *

Client recommendation Web Breeder List Kijiji Facebook
Are you prepared to spay/neuter your puppy *

Yes No
Why not? *
What type of personality do you want?
What gender of puppy? *

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

Yes No
Are you willing to commit to on-going veterinary care? *

Yes No
Will you provide a loving home and keep your puppy healthy and safe? *

Yes No
Will you crate train your puppy? (optional) *

Yes No
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? *

Yes No
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? *

Yes No
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 *

Prefix First Name Middle Name Last Name
Enter the message as it's shown *
Should be Empty:

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Bernedoodle Application Form