Adoption Application

Personal Information First Name:

Last Name:

Spouse Name:

Address Line 1:

Address Line 2:

City:

State:

Zip Code:

If you have lived less than five (5) years at your current address, please enter your previous address below:

Home Phone:

Work Phone (or Cell Phone):

Occupation:

Email Address:

Pet History What other dogs have you owned in the past three (3) years?
Dog 01:
Breed:

Name:

Sex:
Male Female
Age:

Dog 02:
Breed:

Name:

Sex:
Male Female
Age:

Dog 03:
Breed:

Name:

Sex:
Male Female
Age:

Are your pets up to date on all shots? Yes No
Are your pets on heartworm preventative? Yes No
If you have any other pets, please list them below:

Household Information Number of adults:

Number of children:

If you have children, please list their ages below:

Which members of your family will feed and care for the Saint?

Does anyone in your household have an allergy to dogs?

Tell us a bit about your family life:

I live in a:

We: Rent Own
If you rent, please fill out the following information about your landlord:
Landlord's Name:

Landlord's Address:

Landlord's Phone:

Caring For The Dog If you have a fenced yard, please describe it below:
Type of fence:

Fence height:
ft.
Size of fenced area:
ft. x ft.
How many hours per day would the Saint be alone?

During the day, the Saint would be in the:

If other, please specify:

During the night, the Saint would sleep in the:

If other, please specify:

Are you willing to have a home check before adoption?
Yes No
Are you willing to housebreak a dog?
Yes No
Are you aware that the vet bills for routine care of a Saint may cost between $100 and $500 (or more) per year?
Yes No
When you go away for a few days, who will care for the dog?

Have you ever obedience trained a dog?
Yes No
If yes, please explain what training methods and collars you prefer:

Are you aware that Saints shed profusely (especially during the summer months), often drool or slobber, and are prone to hip problems?
Yes No
Are you aware that when you adopt a Saint, you are taking on the responsibility for its lifetime, which may be up to 14 years?
Yes No
Have you owned a Saint Bernard dog before?
Yes No
If yes, what happened to the dog?

How or where have you learned about this breed?

Veterinary Information If you currently have pets, the following information about your current or last veterinarian is required:
Vet's Name:

Vet's Address:

Vet's Phone:

Adopting A Dog What specifics are you looking for in a dog? If you are interested in adopting a particular dog, please specify which and give your reason(s) for your choice:

Preferred coat length:
Long Short
Preferred sex:
Male Female
Preferred age:
Less than 1 year 1 to 3 Years 3 to 5 years Older dog
If you have chosen a particular dog, would you be willing to take another if your chosen dog has a medical issue or another problem that would prohibit its adoption at this time?
Yes No
Are you aware that Saint Bernard Rescue Foundation, INC. requests an adoption fee for each adoption, to help cover expenses incurred in readying dogs for adoption?
Yes No
Are you prepared to pay this fee?
Yes No

Personal References Name: Phone:
Name: Phone: