Bouvier des Flandres  Club of Canada Inc. 
     

  BREED INFORMATION
     - History
      - CKC Bouvier Standard
     - Bouvier Pedigree Database
      - Character
      - Care Needed
      - Health Issues
      - Books
      - Bouvier Links
      - Upcoming event

  CLUB INFORMATION
     - About the Club
     - BdFCC Officers
     - BdFCC Committees
      - Constitution
      - By-Laws
      - Code of Ethics
     - Membership application

  BOUVIER RESCUE
      - 102 ways to help
     - Terms of Adoption
     - Application
     - Available dogs


 - Statistics
 
 


Rescue Section  ~  Application

 
Bouvier Rescue reserves the right to refuse any application.
Name
Street address
City
Prov./State
Postal/Zip Code
Country
Phone # Home     Phone # Work 
Fax #
Email
Driver's License or Orther I.D  

Referred by ?

Why do you want a Bouvier ?

How did you hear about our Rescue Organization ?
Do you live in ? House Condo Apartment
Rental Owned
If you rent, does your rental agreement permit you to keep large dogs ?
Yes   No

How long have you lived at your present address ?

If less than two years, please include your previous address.

How long were you at this address ?

What is the size of your yard ?

Is the yard fenced ?  If ''YES'', what kind of fence do you have ?
Yes   No

Have you had dogs before ?
Yes   No

Have you had a Bouvier before ?
Yes   No

If ''YES'' to owning dogs before, what happened to them and how long did they live ?

Do you have any other animals ?  If ''YES'', what kind and what ages are they ? 
Yes   No

Is everyone in your house in agreement about adopting a Rescued dog ? 
Yes   No

Would everyone in your house be available to come and 
meet a possible adoptes ? 
Yes   No

How many people are in your household:    Adults  /  Children  ?
If there are children, what are their ages and sex ?

Will members of your family be at home during the day ? 
Yes   No

How long during the day do you expect to have to leave the dog alone ?

Where will the dog be kept most of the time  ?
       
House Yard Both Kennel / Run Chained

Where will the dog stay during the night ?

Where will the dog stay if you have to be away all day or all night ?

Does anyone in your family have allergies to dogs?          Yes       No       Don't  know  

Have you had any experience housebreaking a dog ?

Yes   No

Are you willing to crate train a dog if necessary ?

Yes   No
References

Veterinarian you use the most:  Name, Addresse, Phone #

Name and number of a local individual (not a relative) who knows or has known your other animals:  Name, Phone #

Would you be willing to have a member of the Bouvier Resuce visit your home
(by appointment) prior to adoption ?

Yes   No
Other

Do you have any comments, questions or concerns you would like us to address ?  Please use the space provided below.

I have read the Bouvier Rescue's ''Terms of Adoption'' and am willing to abide by those terms if I adopte a Bouvier.

Signature: ____________________________________________              Date: ___________________
 
Or print off a completed application and send to us