New England Saint Bernard Rescue Adoption Application

save our saints

In order to assure that the Saint Bernard you are applying to adopt will be best suited to your home and lifestyle, and that it will be placed in an environment that is compatible with its needs, please fully complete this form.

Please take care to answer EVERY question as our review team does not take any action on an incomplete application.

BE ADVISED THAT WE LIMIT OUR PLACEMENTS TO RESIDENTS OF THE SIX NEW ENGLAND STATES ONLY, AND DO NOT PLACE DOGS OUTSIDE THAT AREA.

For questions or comments about this application please email judy@saintbernardrescue.org.

Personal Information

List information for each adult in the household.

Adult 1

First : Last :
Address: Street Address :
City: State: Zip:
e-mail:
Telephone : Cell phone :
Employer: Work Telephone :
Occupation:

Adult 2

First : Last :
Address: Street Address :
City: State: Zip:
e-mail:
Telephone : Cell phone :
Employer: Work Telephone :
Occupation:

Please list the same information for ALL persons 21 years and older in the household

 
Number of persons in household: Adults: children: ages of children:
Do you have grandchildren? No Yes If so, what are their ages:
Does anyone in your home have allergies to dogs? No Yes
   

List the name, address, and telephone number, and relationship (friend, co-worker, neighbor, etc.)
of two personal references who are NOT related to you by blood or marriage.

   

Home Information

Which best describes your home:

If Other, please describe:

   
Is your home rented? No Yes  

If rented, please complete the following section. We require a letter from your landlord stating that you have his/her permission to have a Saint Bernard on the rental property. Contact us for further instructions.

Landlord Contact Information
First : Last :
Telephone : Cell phone :
Address: Street Address :
City: State: Zip:

   
Do you have a fenced yard? No Yes
   
If Yes, what type of fencing do you have?

Height of fencing?

Length of fencing?

Width of fencing?

   

Pet Information

Please list all veterinarians used and all pets owned in the last 5 years.

Primary Veterinarian's Name:
Veterinarian Hospital Name:
Street Address: City:
State: Zip: Telephone :
 
Name and telephone number for all other veterinarians used in the last 5 years
   
Total number of pets owned in the last 5 years:
   

Pet 1

Breed : Gender: Male Female
Name : Age : year(s)
How long has (or did) this pet live with you? : years.
On monthly heartworm and flea/tick prevention? No Yes
Up to date on all shots? : No Yes Spayed or Neutered? No Yes
Where is the pet now : If deceased, at what age? years.
  Cause :

Pet 2

Breed : Gender: Male Female
Name : Age : year(s)
How long has (or did) this pet live with you? : years.
On monthly heartworm and flea/tick prevention? No Yes
Up to date on all shots? : No Yes Spayed or Neutered? No Yes
Where is the pet now : If deceased, at what age? years.
  Cause :
   

Pet 3

Breed : Gender: Male Female
Name : Age : year(s)
How long has (or did) this pet live with you? : years.
On monthly heartworm and flea/tick prevention? No Yes
Up to date on all shots? : No Yes Spayed or Neutered? No Yes
Where is the pet now : If deceased, at what age? years.
  Cause :
   

Pet 4

Breed : Gender: Male Female
Name : Age : year(s)
How long has (or did) this pet live with you? : years.
On monthly heartworm and flea/tick prevention? No Yes
Up to date on all shots? : No Yes Spayed or Neutered? No Yes
Where is the pet now : If deceased, at what age? years.
  Cause :
   

Pet 5

Breed : Gender: Male Female
Name : Age : year(s)
How long has (or did) this pet live with you? : years.
On monthly heartworm and flea/tick prevention? No Yes
Up to date on all shots? : No Yes Spayed or Neutered? No Yes
Where is the pet now : If deceased, at what age? years.
  Cause :
   

If more than 5 please list the same information for the others:

   

Are you aware that the veterinarian bills for a
Saint Bernard may run between $100 - $500 per year?
No Yes
 
If you own a pickup, will the dog ride in the back? No Yes
 
Have you ever obedience-trained a Saint ? No Yes
Another breed? No Yes
   
Who will feed and care for the dog?
   
Where will you keep your pet  

during the day?

at night?

   
How many hours would the dog be alone on a typical day?
   
Why do you want to adopt a Saint Bernard? (check all that apply)
 
Personal Protection A Gift
To Breed Guard Dog
For My Children Obedience Work
Companion Other
 
What are your preferences for your adoptive Saint? (check all that apply)
 
Male Female
Longhaired Shorthaired
Less than a year old Between one and three years old
Between three and five years old Any age
Senior Special-needs dog
 
Who will care for your pet(s) if you are away for any reason - vacation, emergency, other?
Please be specific.
 
What training methods do/will you use?   Please be specific.
 
Is there anything else you would like for us to know?
 

Please make sure you've answered EVERY question as our review team does not take any action on an incomplete application.

I understand that the dog in whom I am interested may not be a suitable candidate for me or my family
and there is no guarantee that such dog will be offered to me.

By submitting this application I certify that the information I have given is true, and any misrepresentation
of the facts may result in my losing the privilege of adopting a dog through New England Saint Bernard Rescue.

Please contact us if you do not receive a notification within 72 hours.



the application or it and start over