CONTACT US:

KAREEN
CARRUTHERS
P.O. BOX 294168
PHELAN, CA
92329
Phone: 760 868 5008
Fax:  760 868 0368

Kareen Carruthers
APPLICATION

BEAR'S DEN
HYACINTH BOUVIERS
P.O. BOX 294168
PHELAN, CA
92329-4168

If you are interested in one of our rescues or an upcoming puppy, please take a few minutes
to complete this application.  You can fax or e-mail it to me.

Your name:____________________________________________________________________

Address: ______________________________________________________________________

E-mail address: _________________________________________________________________

Telephone #: __________________________________________________________________

Do you have children, how many and what are their ages?

______________________________________________________________________________

Have you previously owned a Bouvier?  How long did you have it and how long did it live?

______________________________________________________________________________

Have you ever given up a dog? If so, why? __________________________________________

______________________________________________________________________________

Do you have any other pets?  If so, what type and sex of each pet:

______________________________________________________________________________

______________________________________________________________________________

Do you own or rent?  If you rent, does your landlord allow you to own a dog?

______________________________________________________________________________

Do you have any training experience with your previous dogs?

______________________________________________________________________________

Have you had any experience with a dog with behavioral issues?

______________________________________________________________________________

Do you have a fenced yard?  If so, what type of fence is it and how high is it?

______________________________________________________________________________

Where will the dog be while you work?

______________________________________________________________________________

Please provide a vet reference:

______________________________________________________________________________

______________________________________________________________________________

Please provide 3 personal references:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please detail your previous experiences with Bouviers:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

What is the intended purpose of this pet?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Are you willing to have a home visit after you have adopted the pet to ensure that you are a
good match?

______________________________________________________________________________

Are you aware of the grooming necessary for a bouvier? ______________________________

Are you willing to attend formal training classes with your new pet? _____________________

Please detail whether you are interested in a male or female, cropped or not, rescue or pup.  
If you are interested in a rescue, please advise the minimum/maximum age, what type of
temperament issues you are able to handle, health issues, etc.

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________


Thank you for your interest!

Please visit Pam Green's website!

Crazy Pam's Website
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