Date of Application
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Enter Your Full Name
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First Name
Last Name
Enter Your Spouse or Co-Purchaser's Full Name, if applicable
First Name
Last Name
Are you at least 21 years of age?
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Your Email Address
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Your Residence Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Home Phone
Country
(###)
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Cell Phone
Country
(###)
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Your Place of Employment (please provide name, address and how long you have worked there)
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Please list your preferences in a puppy or dog (age, gender, size, personality)
Have you submitted an application with another breeder or organization at this time?
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Have you ever had an application declined by a breeder, rescue or animal control facility? Please answer yes or no. If yes, please explain
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Does any member of your family have any allergies to animals? If yes, please explain
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Please describe any possible personal situations in which you may have to return a puppy or dog, i.e., job loss, children, move, marital change, etc.
For whom are you purchasing a puppy? Yourself, Friend, Family Member, etc. If the puppy is for a friend or family member, what is their age?
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How many people live in your home? If there are children, please include their ages
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Will the puppy or dog live indoors? Also, are you willing to take the time to housebreak a puppy?
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Who will be the primary caretaker, responsible for feeding and taking the puppy/dog outside? Also, who will care for the puppy/dog in the absence of the primary caretaker, and what is their age?
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Do you plan to take the puppy to basic and ongoing obedience training? Also, will you be willing to obtain an appropriately sized crate, if recommended?
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What pets do you currently own? Using the spaces below (Pet 1, Pet 2), please include the following information for each pet: Name of pet, type of animal, how you acquired the pet, age of pet, male or female, intact/spayed/neutered, whether the pet is on heart worm preventive, whether the pet is current on vaccinations, and whether the pet lives indoors or outdoors. If you have more than 2 pets, please add them to Pet 1 or Pet 2
Pet 1
Pet 2
Name of the veterinary clinic where you have most recently taken your pet(s)
Address and phone number of your veterinary clinic
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Have you taken your pet(s) to any other veterinary clinics in the past three years? If yes, what is the name, address and phone number for the other clinic or clinics
Please list any other pets you have owned in the past 5 years but no longer own. Using the spaces below (Former Pet 1, Former Pet 2), please include the following information for each former pet: Type of animal, age, male or female, intact/spayed/neutered, whether the pet was kept on heart worm preventive and kept current on vaccinations, indoor or outdoor pet, how long you had the pet, why you no longer have the pet, and the name and location of the veterinary clinic where you took the pet. If you had more than 2 former pets over the past 5 years, please add them to Former Pet 1 or Former Pet 2
Former Pet 1
Former Pet 2
Please provide the name, address, and phone of the veterinary clinic you will use for your NEW puppy or dog. Please also include the type of veterinary care you plan to provide for the new puppy or dog
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Have you considered the extra expenses that come with having a puppy, including vet care, food, supplies and equipment, toys, grooming, training and boarding? Please explain
What type of home do you live in?
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Do you own or rent your residence?
If you rent your residence, please provide your landlord's name and phone number, and what types of pets are allowed
How long have you lived at your current residence? Please provide the length of time. If you have lived at your current residence for less than a year, please provide your prior address, length of time there, and if applicable, the name and phone number of your previous landlord
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Do you have a fenced yard? Please state yes or no, and whether it is full or partial. If you do not have a fence, do you plan to install one, and if so, when will it be installed? If you have a fence, what type is it (chain link, wood or privacy fence), and how tall is the fence?
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How many hours per day will the new puppy or dog be left unattended (i.e., workday)? Also, when no one is home (i.e., work, shopping), where will the puppy or dog stay? Please be specific
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When you are home, where will the puppy or dog be kept - and where will the puppy or dog sleep? Please be specific
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How often do you travel, and what will you do with the puppy or dog when you travel?
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Are you aware of the expenses of owning a LARGE BREED dog and potential health issues? Also, the BRT is a long-coated breed that requires grooming. Are you aware of the financial expense of professional grooming and the frequency needed to keep the dog’s coat and skin healthy?
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Are ALL adults residing at your residence aware that you’re considering purchasing a puppy, and do they approve?
By clicking YES below, you certify that the information you have provided on this application is accurate, and that you give Guardian Bears Kennel permission to contact your current and/or previous veterinarian(s) and if applicable, your current or previous landlord, for reference information. You also agree to be responsible for providing proper shelter, food, water, exercise, veterinary/medical care and humane treatment at all times for the dog. You also agree to return the dog to Guardian Bears Kennel if you become unable to keep or properly care for the dog.
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