Wasatch Canine Camp, LLC Berners
Bethany & Alan Tracy
Eagle Mountain, UT
385-775-3441
This questionnaire is designed to aid us in the potential placing of a Bernese Mountain Dog into your home that will be compatible with your family and lifestyle. It may also help in areas where you may need information and guidance. If you would like to pursue the possibility of obtaining a Bernese Mountain Dog, please complete this form and return to us. In order to be considered for a Bernese Mountain Dog puppy you must:
(1) be 21 years of age
(2) have the knowledge and consent of all adults living in your household
(3) have a valid ID with current address
(4) understand that completing this application does not guarantee that you will get a puppy and Wasatch Canine Camp, LLC must approve your application.
Name:______
Address:______
City, State & Zip code:______
Phone number (s):______
Email address:______
What made you want to get a Bernese Mountain Dog? ______
How would you describe the area you live?
Apartment____ City____ Condo____ House____ Rural____ Suburb____
Are you renting or live in a Condo? Yes____ No____
If yes, does your landlord or “homeowners” allow dogs (big dogs)? Yes____ No____
Do you have a fenced yard? Yes___ No____
Will this BMD be a surprise for anyone in the home? ______
Occupation:______
Have you ever owned a dog before? ______
If yes, have you ever owned a large/giant breed of dog before (If yes, what breed(s)? ______
Have you ever raised a puppy before? If yes, please explain.
______
Will your dog be an inside or outside dog?______
How many hours in a 24 hour time frame will your dog be left alone?______
Where will your dog stay when you are not home?______
Where will your dog sleep at night? ______
Do you have a specific request for who is the Sire/Dam of your puppy? ______
Are you interested in a:
Pet Male____ Show/breeding Male_____
Pet Female____ Show/Breeding Female_____
If you would like a show/breeding puppy, please explain what your plans are for the puppy?______
If your preference is not available are you willing to change or wait for another litter? ______
What is your preferred timeframe to get the perfect puppy for your family? ______
______
Have you ever bred a litter of puppies? Yes____ No____
Do you have any concerns regarding spaying/neutering your pet? Yes____ No _____
Explain: ______
Are you willing to sign a spay/neuter contract? Yes ______No ______
Do you understand that the wait for one of our Berners can be 6 months or longer? ______
What qualities are you looking for in a Bernese Mountain Dog?______
Have you ever owned a Bernese Mountain Dog? ______
Do you have a: fenced yard____ covered patio____ shade trees____ kennel or dog run____
or other (Please Explain)______
What brand of food do you plan on feeding your dog? ______
How would you potty train a puppy? ______
Do you plan on crate training? ______
How would you discipline or correct your dog? ______
How often do you plan on exercising your Bernese Mountain Dog? ______
Do you have any plans to move in the near future? ______If, at some time you do move, what will you do with your pet? ______
What is your plan for the dog if an unexpected circumstance arises such as, but not limited to, Divorce, move, new baby, loss of a job, serious illness etc. ______
______
If for any reason you have to give up your BMD, would you be willing to return it to the breeder?
Yes _____ No _____
Are you willing to sign a contract stating that if you must give up your BMD you will return it to the breeder?
Yes ______No ______
Are you looking for a protection dog? Yes____ No____
What areas are you interested in for a dog? Companion___ Therapy____ Conformation____ Breeding____Obedience____Agility____Tracking____Drafting____Search & Rescue____ Other____
If you live in Utah, you will be required to complete training classes with Wasatch Canine Camp, LLC. Out of state buyers will be required to complete training with an approved trainer. Do you have a problem with this requirement? Yes (Please Explain)____ No____
______
What energy level are you looking for in a Bernese Mountain Dog?
High____ A dog that fits in a very active lifestyle. A dog that likes to go where you go.
Moderate____ A dog that likes to go on regular walks, hikes & car rides. A dog that like to go where you go.
Low____ A dog that likes to go on walks and watch TV with you on your feet. A dog that likes a quieter lifestyle.
What personality traits would you find UN-desirable in a dog? ______
______
How do you plan on picking up your puppy from us? Drive, ship (ground/air), or fly with the puppy? ______
(We do deliver within a certain radius of us or meet half way, both for a fee. At this time we are not shipping puppies sight unseen in air cargo freight, we potentially can deliver by air using a courier who would be with the puppy in the cabin, at your cost)
How many people live in your house?______
Do you have children? Yes____ No____ Their ages are? ______
How do other members in your home feel about getting a Bernese Mountain Dog?______
Do you have other pets? Species, Breed, Age, etc.
______
How were your other dogs obtained? (breeder, rescue, pet shop, found, gift etc.) ______
If there are current dogs in the home tell us a little about their personalities, energy levels, etc.
______
Have you ever euthanized a pet in the past?______If yes, please explain. ______
______
Have you ever rehomed a dog in the past?______If yes, please explain why and how (given to shelter, sold, etc). ______
______
Bernese Mountain Dogs require high amounts of grooming to maintain their long and beautiful coat. Are you willing to commit to keeping your dog groomed so their coat doesn’t get matted? This will also greatly decrease their shedding. ______
Are you aware of the many potential health risks in a Bernese Mountain Dog? Please name a few.
______
You will be required to obtain radiographs of hips and elbows just after (OFA), or before (PennHip), the age of two. Can you afford this? In 2009 the approximate cost was $450.00. Yes____ No____
Are you willing and able to maintain your dog’s routine expenses for its entire life? Yes____ No____
This would include things like food, vaccinations, Vet bills, training, boarding, toys, travel and many others.
Are you interested in keeping in contact with the breeder of your dog? Yes____ No____
What is important to you in a breeder?______
______
Are you aware that dogs (puppies) go through stages of growth and several of those stages have the ability to make even the sanest human being want to throw said puppy out the window for good? Is this something you will be able to work through with patience and perseverance until together you come to that mature dog stage that we all love?
Yes _____ No______I sure hope so______
Is your lifestyle the kind that will enable you to spend time every day with this beautiful, kind, gentle and intelligent dog? ______
How did you hear about WCC’s Bernese Mountain Dogs?______
Take a moment and tell us what you expect from your dog. Better yet, tell us what the perfect dog would be, what are you looking for? And also why are you searching out a purebred dog from a breeder?
______
______
Signed: ______Date: ____/____/____
Signed: ______Date: ____/____/____
Thank you for your interest in our Wasatch Canine Camp’s Bernese Mountain Dog puppies! Please email back this application to . You can also mail your application to
Bethany & Alan Tracy
Wasatch Canine Camp, LLC
8817 N Cedar Pass Rd
Eagle Mountain, UT 84005
We require a $300.00 non-refundable deposit for our puppies. This is deducted from the purchase price. We want to make sure you have carefully thought through your decision to get a Berner puppy. Checks should be made out to Wasatch Canine Camp, LLC.
Thank you!
Bethany Tracy, Owner Wasatch Canine Camp, LLC