Date :

-- mm/dd/yy

Please provide the following contact information:

Number of adults in household:

Number of children in household:

Ages of children in household:

Let us know what your work schedules are like. How many hours a day are you away from home for work/school etc?

Type of dwelling:

house
condo/town home
apartment
other

Do you own or rent?

own
rent

If renting: Do you have landlord approval to have a pet?

yes
no
not sure
N/A

If renting: Name and phone number of landlord/rental agency:

Do you have a fenced yard?

Yes No

Number of dogs in household:

0
1
2
3
4+

Number of cats in household:

0
1
2
3
4+

List ages and breeds of pets in household:

Are all of your pets spayed or neutered?

yes
no
N/A

Select any of the following options that apply: Where do your dogs stay while you are away from home?

In the yard
In a crate
In the garage
In the house confined to an area
In the house not confined to an area
In an outdoor run/pen

Where will the dog sleep?

Name and Phone number of Vet. Please include last name on your account at the Vet clinic. We will check with your Vet for Veterinary history. If you are new to the area, and do not have a Vet in Las Vegas, please include a Vet reference from your former city.

List any pets you have previously owned: (If deceased, cause of death)

If you are applying to adopt a specific Saint from our "Saints for Adoption" page, please name here.

Do you have a gender preference?

male
female
no gender preference

Would you consider a Saint Mix?

yes
no
maybe

Have you ever had a Saint Bernard?

Yes, I have a Saint now
Yes, in the past
No

If not, have you researched the breed?

yes
no

Why do you want to adopt a Rescue Saint?

Have you ever had to give a dog up? If yes, please explain the circumstances.

Please provide any additional information that would be helpful in considering your application for adoption.