Creekwood Bernese dog application Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? Do you know anybody that has a dog from Creekwood Bernese? * Tell us about yourself * Why do you want a dog? * Do you have a preference which sex dog? * No preference Female Male What qualities do you like in a dog? * Why did you choose this breed? * Is this your first dog? If not, what breeds have you owned? * What accommodations will the dog have? (Ex: kennel inside, outside; how will the dog be contained when you are not home; where will the dog sleep?, etc) * What is your living arrangement? Do you own or rent your home? (If you rent, you must provide proof that you are able to have a large dog in your home) * Do you have a fenced yard? * Yes No Do you work part-time, full-time? What is the estimated number of hours that the dog will be left alone during the day? * Who lives in your household? List number of adults and children and the ages of children. * Do you intend to take the dog to training? * Yes No Maybe Thank you for submitting your application! We will be in touch with you shortly.