521 Ridge Rd, Campbell River, B.C.  V9W 3B1
                                          250-286-0315
                                    gmadigan@telus.net

Name: ________________________________ (Date of app) ______________
Address: _____________________________
            ________________________________
Postal Code:__________________________
Phone:________________________  Cell:_______________________
Email Address:_________________________________
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Do you own or rent? ______________________
How long have you lived at this address? _________________
Do you have a yard?_________________ Is it fenced? ____________
Do you have acreage? _____________________________
How many children are living at home?___________________
What are the ages? _____________________________________________
Do you have other pets? _________________
What kinds?_______________________________________________________
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Have you raised a puppy before? __________
Where will the puppy sleep at night? ______________________________
Where will the puppy stay during the day? ________________________
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Will the puppy be alone during the day? _______________
If so, what is the maximum amount of hours the pup will be alone? ___________________
How much are you expecting the pup to cost monthly for food and treats? _________________
Have you researched puppy insurance? __________
Please take some time to tell me about your family, lifestyle, hobbies etc so that I can get a picture of what kind of life my pup can expect to have. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What is your history of dog ownership and what happened to the dogs you previously owned?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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Do you prefer a male or female or no preference?  _________________________
 ***For Bernedoodles:  Please state colour preferences.
Merle, Bi colour, Tri colour, Sable, Phantom, Mismarked or Solid.
1. _______________________   2. _____________________
Will we need to ship the puppy to you? _____________
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Deposit for pups is $750 CDN and non-refundable.  Deposit is not due with this application form.  A partial deposit of $250 is needed to go on the waiting list.  It will be deducted from the $750 deposit which is due when your puppy is born.
Any shipping for a pup is at the owners expense. ( ie flight, flight kennel)  I will be happy to set that up for you.  
                                                                                                          
Thank you very much for considering one of our beautiful dogs to be a part of your life.  Please be advised that all deposits are non refundable.