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		ALL OF OUR PETS ARE SPAYED OR NEUTERED PRIOR TO PLACEMENT!
		Please fill in this form completely and we will contact you as soon as possible.

IMPORTANT: After clicking the SUBMIT button, be sure to click on CONTINUE on the following 2 screens or your application will not be submitted.

Full Name:
Email Address:
Home Address:
Home Phone:
Tell Us about current pets in your home. (Breed, Sex, Age, Is the pet fixed, etc.)If NONE state NONE
Are your pets up to date on all vaccinations?:	Yes No
I would like to adopt a Saint for: (Check all that apply):	Protection Breeding Purposes Kids Companion Gift Guard Dog
Number of Adults in Home:
Number of Children in Home
Which members of your family will feed/care for the Saint?:
Does anyone in your home have an allergy to dogs?:	Yes No
How many hours a day will the dog be alone:
I live in:	House Apartment Condo
I	Own Rent Lease
Fence Height
Fence Type
During the day, the Saint would be in the (e.g.. house, yard, garage)
During the night the Saint will sleep:
Are you willing to have a home check before adoption?	Yes No
Are you aware that the vet bills for routine care of a Saint may cost between $100 and $500 or More per year?	Yes No
Name, address and phone number of current or last veterinarian:
Do you realize that Saints shed profusely (especially during the summer months), often drool or slobber, and can be prone to hip problems?:	Yes No
Are you aware that when you adopt a Saint, you are taking on the responsibility for its lifetime, which may be up to 14 years	Yes No
Have you owned a Saint Bernard before?:	Yes No
If yes, what happened to the Saint?:
Coat Length Preferred:	Rough (Long Hair) Smooth (Short Hair) No Preference
Sex Preferred:	Male Female No Preference
Are you aware that we request an adoption fee for each adoption, to help cover expenses incurred in readying dogs for adoption?	Yes No
Are you willing to pay?	Yes No
Are you willing to pick a dog up directly from a shelter?:	Yes No
Comments:

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