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

3152 E 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