COLORADO SAINT BERNARD RESCUE   SAINT BERNARD ADOPTION APPLICATION   In order that we may be assured 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 fill out the form below. Incomplete applications will not be considered. Colorado Saint Bernard Rescue reserves the right to deny any application for any reason.   Contact Information Your Name: Spouse/Partner's Name: Your Address: City: County: State: Loading... Zip Code: Home Phone: Email Address: Employment Information Occupation: Employer: Length of Employment: -- Select --Less than 1 years1 years 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years More than 20 years Work Phone: Spouse/Partner's Occupation: Spouse/Partner's Employer: Spouse/Partner's Length of Employment: -- Select --Less than 1 years1 years 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years More than 20 years Spouse/Partner's Work Phone: Adoption Process Are you willing to let us do a homecheck? -- Select --NoYes Are you willing to provide a copy of your photo ID? -- Select --NoYes Please enter your ID/Driver's License Number: Please select your age range: -- Select --Less than 1818-2425 - 3031 - 4041 - 50Older than 50 Please list your reason(s) for wanting to adopt a St. Bernard: Personal protection To breed For my children A companion A gift Obedience training Guard dog Other What types of pets have you had in the past 5 years? Name Age Breed Altered? Location Now? -- Select --IntactSpayedNeutered -- Select --IntactSpayedNeutered -- Select --IntactSpayedNeutered -- Select --IntactSpayedNeutered -- Select --IntactSpayedNeutered How will your existing pets ( if any ) adjust to a new 4-legged family member? Household Information I live in a(n): -- Select --HouseApartmentCondo/TownhouseMobile HomeOther Do you have a yard? -- Select --NoYes If you have a yard, is it fenced? -- Select --NoYes If fenced, please select height: -- Select --3 ft4 ft5 ft6 ft7 ft8 ft If fenced, please select type: -- Select --Chain LinkPrivacySplit RailCattle WireOther What is at the bottom of the fence? Gate latch mechanism: -- Select --LatchDeadboltPadlockNone How long have you lived there? -- Select --Less than 1 years1 years 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years More than 20 years If less than three years, please list previous address: Address: City: County: State: Loading... Zip Code: Own/Rent? -- Select --OwnRent If renting, please list contact information for Landlord: Name: Address: Phone: Please list names and ages of all children in household: Name: Age: Name: Age: Name: Age: Name: Age: Name: Age: At what age do you feel children are responsible enough to take care of a dog without assistance ( walk, feed, etc. )? -- Select --Less than 1 years1 years 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years More than 18 years Does anyone in the household have an allergy to dogs? -- Select --NoYes Are you able to pay the full adoption fee? -- Select --NoYes Are you open to adopting a mixed breed Saint? -- Select --NoYes Care for Adopted Saint Hours a day your Saint be left alone: -- Select --"01234567891011121314151617181920212223" Where will your Saint stay while you are away from home? Which family member will feed and care for your Saint? Where will your Saint sleep? Will your Saint be allowed on the furniture? -- Select --NoYes Which rooms will be off-limit to your Saint? Where will your Saint stay while you are on vacation? What will you do with your Saint if you move? What BRAND of food do you intend to feed your Saint? Are you willing to housetrain? -- Select --NoYes Do you know anything about crate training? -- Select --NoYes Will you crate train your Saint? -- Select --NoYes Will your Saint ever be left alone with a child/children under the age of 16? -- Select --NoYes Have you ever obedience trained a Saint? -- Select --NoYes Have you ever obedience trained another breed? -- Select --NoYes What training method(s) will you use? If you are planning on traveling or moving with your Saint in the next 12 months, provide details. Do you own a pickup? -- Select --NoYes If you own a pickup, does it have a shell? -- Select --NoYes If you own a pickup, will your Saint ride in the back? -- Select --NoYesDon't own pickup Which of the following would force you to give up your Saint? Marry someone with allergies Neighbors complain about Saint Move where pets aren't allowed Dog bites children Dog doesn't get along with current pet(s) Massive vet bills Dog loses control of bladder Dog is not the kind of dog I thought it would be Dog is untrainable Move out of state Dog develops chronic illness Planning on having a baby Chronic barking Dog nips at strangers Divorce/Separation Personal Details Relationship If your present relationship were to change, with whom will the dog remain? Please explain. Saint Preferences What specifics are you looking for in a Saint? (coat type, male/female, etc.) What behavior are you looking for in a Saint? Why Your Home? If another person were requesting to adopt the same Saint, at the same time you were, tell us why we should select you instead of the other applicant. Personal References Please list 3 personal references: Name Address Phone Number Relationship -- Select --FriendFamilyCo-WorkerOther -- Select --FriendFamilyCo-WorkerOther -- Select --FriendFamilyCo-WorkerOther Veterinarian Information Please give us name, address, and phone number for your veterinarian: Name: Address: Phone Number: Are your pets current on shots? -- Select --NoYes If not, why?   Are your pets currently on Heartguard? -- Select --NoYes If not, why?   Terms and Conditions Did you read the adoption process page and are you fully aware of the requirements for adoption of a Saint from our organization? -- Select --NoYes     If you have problems with this page, please print the application and fax it to us at 720 208 2252. or you can try our National Foundation application at http://www.saintrescue.com/adoption_app.htm.   You can also print and mail the application to: Colorado Saint Bernard Rescue P.O. Box 27772 Denver, CO 80227 If you are still having trouble, please call us at 720 981 1700 for other options.