Adoption Form

Your First Name

Your Last Name

Address Town Zip Code

Phone Number

Your Email Address*

What is your age?*

Type of Employment that you do?

Do you

Rent

Own

Which Puppy Were You Interested In?

Price of the puppy?

Where did you find us or hear about us?

What is your Instagram & Facebook user name?

When are you ready to add a new member to your family?

Do you have any children?

Yes

Please list ages of your children

Do you currently have other pets?

Yes

Please list the type of Animal-Age-Breed-Gender-Spayed/Neutered?

What is your current Veterinary Offices Name & Number?

Why are you interested in this breed?*

Will you be comfortable sending up Updates/Photos as he/she grows?

I understand that if I want The a Bernese Family to hold a puppy I will leave a deposit to reserve him/her until they are ready to leave. I understand that the deposit is Non-Refundable and Non-Transferable and that if I don’t pick up my puppy I will lose my deposit.

I agree that this puppy is NOT a gift for anyone that I am purchasing for myself/family

Please sign your name below

Thank you for having interest in our babies! We will get back to you as soon as possible. If you have any questions feel free to text or call 518-719-5216 Social media accounts are linked below feel free to follow us! 🐾