Application for a Puppy

Bernese Mountain Dog Links
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Brie / Smokey Babies 7-8-2022
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Please complete the application as much as possible. We need to know a little about you to consider placing a puppy with you.
Please note that a completed application Does Not automaticlly add you to our waiting list!
Our waiting list is for those who are interested in taking the next available Puppy!

After completion, click submit at the bottom of the page. This form will then be sent to us electronically.

Please be aware that there are puppy scams that may use our name to offer a rehomed puppy !!!

Do not send money to anyone claiming to be referred from us to sell or rehome a puppy.
Always talk to us personaly before sending any money. 

Spouse's Name
Address; Street, City, State
Home Phone
Cell Phone
Spouse's Cell Phone
E-Mail Address
Work Hours
Spouse's Occupation
Work Hours
Do you rent or own?
Do you have children? If so, ages?
Where did you hear about us?
Are you looking for a pet/companion dog or show dog?
Are you looking for a male or female?
Have you owned a dog before? If so describe.
Have you owned other animals? If so describe.
Are you in town or rural?
Do you have a fenced yard?
Will your dog be an inside dog or outside dog?
How will you train your dog?
Do you plan to show your dog?
Do you plan to breed your dog?
How will you exercise your dog?
What energy level do you want in a dog?
What size dog do you want?
Is shedding a concern?
Any family members with allergies?
Do you plan to groom your dog or have it groomed?
Are you interested in the Bernese Mountain Dog Club?
Would you be willing to complete an annual health and development survey?
What is your Veterinarians Name and Phone Number?
Nearest family member not living with you
Personal reference not related to you.
How long have you known this person?
Why do you want a Bernese Mountain Dog?
Please tell us anything else about yourself that you would like us to know.

We know it's a long form, but we feel it's really important.  If you have questions, you can contact us at

Thank you !!!!