Below is our puppy application. If you are interested in purchasing a puppy or getting on our puppy list, please complete the below application. By completing the application, you authorize Bloodstone Bordeaux to check references and complete a home check. By no means does completing the application mean you will be getting a puppy.  

We reserve the right to refuse or supply a service or dogue to anyone.

Please provide the following contact information:

Name
Address
City State Zip Code
Home Phone     Cell Phone   
Work Phone Alternate Phone  
FAX E-mail
Web Address

Names and relations of other adults in household:

Name
Relation
Name
Relation
Name
Relation

Please list children in household:

Name
Age
Name
Age
Name
Age
Name
Age

Please list Pets in household:

Name Sex Spayed/Neutered
Age Species Breed
Name Sex Spayed/Neutered 
Age Species Breed
Name Sex Spayed/Neutered 
Age Species Breed
Name Sex Spayed/Neutered 
Age Species Breed

 

Do prefer a male or female:

Do you want a Rescue or Foster:

Do you understand and agree that all Rescues WILL be spayed/neutered?:

Do you agree to provide a home life for the dogue? Meaning the dogue will not live outside:

Do you agree to provide obedience training for your new dogue?:

Do you agree that for any reason you can no longer keep your dogue, it will be returned to Rescue?:

Do you own or rent:

Type of Housing:

How long at present address:

Do you have a fenced yard?:

Type of fencing around your home:

Do you have a pool?:  Is it fenced separately?:

 

Please provide the names and info of three personal references:

Reference 1.

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Alternate #
E-mail

Reference 2:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Alternate #
E-mail

Reference 3:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Alternate #
E-mail

Please provide the name and address of your veterinarian:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail


Why do you want a Dogue de Bordeaux?

 

How did you learn about the Dogue de Bordeaux?

Any other information that you feel is important in helping us determine the best match in a  Dogue de Bordeaux for you and your family?

If you have learned about the Bordeaux from books, we strongly suggest that you let us know so we can put you in contact with someone in your area to tell you about upcoming shows so you can see a Bordeaux up close and personal or put you in contact with breeders in your area that have Dogues.


I certify that the above information is true and I understand that prior to being approved to purchase a puppy, the above information will be verified. A home visit will be required. I also agree to a personal interview with a member of Bloodstone Bordeaux or DDBSA Rescue if required to determine the suitability of my home/facility to care for a canine.

Signed   Signed

Signed   Signed

Date

Everyone in the household must agree to this application, and must sign.




 

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Revised: 07/23/08.