Name: *
Email: *
Address: *
City: *
State: *
Phone Number: *
What is a good time for me to call you?
Veterinarian Reference:
Type of Dwelling you live in:
Please Select
House
Apartment
Mobile Home
Do you own or rent your home?
Please Select
Own
Rent
Do you have a fenced in yard? *
Please Select
Yes
No
If yes, what kind of fence. If no, what
are your plans regarding a fence if you get
a puppy? *
Where will the dog be kept?
Please Select
Mainly indoors
Mainly outdoors
Do you plan on crate training your puppy?
Please Select
Yes
No
Will anyone be home during the day with
the puppy? If not, please explain. *
How many hours per day will the dog be left
alone? *
List all currently owned pets and ages.
Are any members of your family allergic
to dogs?
What gender puppy do you prefer?
Please Select
Female
Male
No Preference
Do you plan on having your puppy spayed
or neutered at 6 months of age? *
Please Select
Yes
No
All of Hylens Bernese Puppies are sold on
a limited AKC registration, does this fit your
needs?
Please Select
Yes
No
Who will be the primary caretaker of the
puppy?
Do you plan on taking your puppy to Puppy
School, or Puppy Kindergarten, Or Obedience
School?
Do you have any children? If so list ages.
Are you purchasing your puppy for
Please Select
House Pet
Show
If your application is approved and your
deposit is received, your name will be added
to our list. How long are you "willing" to wait
for a puppy to become available? *
Please Select
within 1 month
up to 3 months
6-9 months
1 year
Why have your chosen the Bernese Mountain
Dog breed?
Is there any other information or something
you would like to add that I might find to be
helpful in processing your application?
How were your referred to AliCam Bernese?
Please Select
Puppy Owner
Other Breeder
Search Engine
BreedersDomain.com
Berner.org
PuppySites.com
Other Website
Other