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Membership Renewal (current or former members)

Foster Adoption Application

We have updated our application to an online form. All questions are mandatory and the form will not allow you to advance if you have skipped questions. You can fill out the form here:

Chattahoochee Valley Bernese Mountain Dog Club Foster and Adoption Application

Thanks for your interest in becoming a part of the CVBMDC rescue program. In order for placement to be successful, we need make sure an appropriate match is made taking into consideration both the Berner’s and family’s needs. Completion of this questionnaire will assist in our efforts to make sure Berners that come through our rescue program find their way into the most appropriate homes. Please answer the following questions completely and honestly. Your thoroughness will make it easier for us to place the right dog with you. We reserve the right to refuse an applicant.

"*" indicates required fields

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Contact Information

Name*

Age*

Complete Address*

Street Address City State ZIP Code

Phone Number*

Email Address*

Are You Interested in Fostering, Adopting, or Both?*

Fostering ONLY

Adopting ONLY

BOTH!!

Tell Us a Bit About Your Family and Pet Adoption Plans

Please List All the Members of Your Household and Relationship to You. Please Describe Their Roles in the Dog’s Care and Life. (Name, Sex, Age)*

Please Describe the Characteristics of the Ideal Dog for You and Your Family?*

Is Anyone Allergic to Pets/dogs?*

Yes

No

I don't know

Do All Family Members Want a Rescued Bernese Mountain Dog?*

Yes

No

What is Your Occupation? What Are Your Work Hours? Days Per Week?*

How Often Do You Travel Overnight for Work?*

What is Spouse/Partner/Co-Owner’s Occupation? What Are His/Her Work Hours? Days Per Week?*

Is an Adult Home During the Day?*

Yes

No

On Average, How Many Hours Per Day Will the Dog Be Alone?*

How Often Do You Travel for Vacation Without Your Dog?*

Do You Currently Have Any Dogs Living With You?*

Yes

No

Current Dogs

Please Specify Your Dog(S) Breed, Age, Sex, and Whether He/She is Spayed or Neutered.*

How Do You Feel Your Current Dog(s) Will Accept a New Dog?*

How Will You Introduce the Rescue Dog to Your Dog(s)?*

What Activities Do You Enjoy Doing With Your Dog(s)?*

Where in Your Home to You Spend Time With Your Dog(s)?*

Do You Sit on the Floor With Your Dog(s)?*

Yes

No

Other Pets

Do You Currently Have Any Other Animals Living With You?*

Yes

No

Please Specify Your Other Animals Species, Age, Sex, Where They Live, and Whether They Are Altered.*

Have You Ever Introduced These Animals to a Dog?*

Yes

No

How Do You Feel Your Other Animals Will Accept a New Dog?*

How Will You Introduce the Rescue Dog to Your Other Animals?*

Home Environment

Is Your Home…?*

Single Family

Townhouse/Condominium/Apartment

Farm or Large Acreage

Other

Other:

Do You Own or Rent Your Home?*

Own

Rent

Please Describes All Stairs in Your Home That the Dog Would Have to Navigate.*

Do You Allow Pets on the Furniture?*

Yes

No

Do You Have a Completely Fenced in Yard for the Dog?*

Yes, Normal Fence

Yes, Invisible Fence

No Fence

Please Describe All Methods You Will Use to Restrain a Dog on Your Property. Please Include Details on Size, Height, Materials, Relationship to House, Etc.*

Where and for How Long Will the Dog Be Kept During the Day?*

Where and for How Long Will the Dog Be Kept During the Night?*

What Are Your Plans for Care for the Dog When You Are Away Overnight or on Vacation?*

Would You Ever Move to a Home That Doesn’t Allow Large Dogs?*

Past Dogs

Have You Ever Adopted or Fostered a Rescue Dog?*

Yes

No

Have You Ever Owned a Dog?*

Yes

No

If You Completed the "Current Dogs" Section, You Do Not Need to Include Their Information in the List Below.

Please List the Breed, Age, How Long Owned, Name of Breeder, Etc.*

What Methods of Training Did You Use?*

How Many and What Types of Trainers Have You Used in the Past?*

Of the Dogs You Own or Have Owned, What Did You Enjoy Most About Dog Ownership?*

Of the Dogs You Own or Have Owned, What Did You Enjoy Least About Dog Ownership?*

Have You Ever Surrendered a Dog to a Rescue Program, Pound, Shelter, or Placed a Dog You Owned in Another Home?*

Yes

No

Surrender

What Were the Circumstances of the Placement(s)?*

All Things Berner

Have You Ever Owned or Personally Met a Bernese Mountain Dog?*

Yes

No

Why Do You Want a Bernese Mountain Dog?*

Are You Aware of the Health Problems Common in Bernese Mountain Dogs?*

Yes

No

Are You Aware That the Care of Some of the Health Problems Common in Bernese Mountain Dogs Can Cost Thousands of Dollars?*

Yes

No

Why Do You Want a Bernese Mountain Dog From the Rescue Program Rather Than From Some Other Source, Such as a Breeder?*

What Do You Like About the Breed?*

What Do You Dislike About the Breed?*

As Bernese Mountain Dogs Age, They Often Need Glucosamine/chondroitin Supplements and Fish Oil and Possibly Others. Are You Prepared to Provide These Types of Supplements for an Aging Bernese Mountain Dog?*

Yes

No

What Supplements Do You/would You Provide for Your Rescue Dog?*

Are You Prepared to Spend $500 or More a Year on Heartworm Preventative, Flea Control and Annual Vaccination Titers or Vaccinations for a BMD?*

Yes

No

Are You Prepared to Deal With the Cost, Which Often is More Expensive Due to the Breeds’ Large Size, of Non-routine/emergency Care, Especially as the Dog Gets Older?*

Yes

No

Please Check Any Preferences You May Have in a Rescue Dog:*

Male

Female

Puppy

Adult

Senior

Would You Be Willing to Foster/Adopt a BMD With Special Needs, I.e. Older, Needs Surgery, Needs Medication, Blind or Deaf?*

Yes

No

Maybe Depending on the Type of Medical Need

Would You Be Willing to Foster/Adopt a BMD Requiring Special Behavior Training Needs?*

Yes

No

Maybe Depending on the Type of Behavioral Need

The CVBMDC Requires All Rescue Families to Attend Training Classes With Their New Dog or to Hire an In-Home Trainer. Are You and All of Your Family Members Committed to Attending Training Classes or Working With a Trainer?*

Yes

No

What Behavior Problems Do You Consider Intolerable? (Examples: Biting, Growling, Barking, House Soiling, Digging, Etc.)*

How Long Do You Expect the Transition Process to Take Once a Rescue Dog is in Your Home?*

How Do You Plan to Transition a Rescue Dog Into Your Home?*

How Do You Plan to Exercise the Dog?*

Under What Circumstances Would You Ever Consider Surrendering a Dog to a Rescue Group or Shelter?*

What Are Your Interests and Plans in Providing Your Dog With Good Nutrition?*

What Food(s) Do You Generally Feed Your Dog? Please Include Brand(s) and Type(s) of Food. (Ex: Acana Duck and Pear Singles, Kibble. Stella & Chewy’s Frozen Raw Patties. Primal Raw Goat’s Milk. 100% Canned Pumpkin)*

If Your Dog Has Specialized Nutritional Needs, Are You Prepared to Attend to These Needs?*

Yes

No

Are You Willing to Spend a Half an Hour Every Other Day for Regular Grooming and More Time During the Spring and Fall Sheds or Have the Dog Professionally Groomed?**

Yes

No

References

May We Visit Your Home and Check References to Verify the Information You Have Provided?*

Yes

No

For Reference Purposes, Please Provide the Name, Address, and Phone Number of Vet You Are Currently Established With or Have Used in the Past. Vet Name/Clinic, Address, and Phone Number.*

I Attest That All Answers Offered on This Application Are Truthful. I Understand That Cvbmdc Reserves the Right to Refuse an Applicant for Any Reason.*

Yes I Understand the Terms

Phone

This field is for validation purposes and should be left unchanged.

Foster/Adoption Application

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