top of page

I have researched the breed to help determine suitability and I have contacted other breeders for information.
Yes
No
Will there be someone available to feed and exercise the puppy/dog during the day?
Yes
No
Have you researched what is all involved in house training a puppy/dog and are you prepared to do so?
Yes
No
Are you willing to hire a pet sitter/dog walker/trainer to help you with house training if necessary?
Yes
No
Maybe
Are you interested in a male, female or either sex?
Male
Female
Either
Are you interested in a puppy, juvenile, adult or a dog of any age?
Puppy
Juvenile
Adult
Any
Are you looking for a puppy/dog for:
Companionship
Show
Obedience/Performance/Competition/Service Work
Other
How much exercise do you expect a Boston Terrier/ Boxer to need?
Little/less than average
Moderate
A lot
Extensive
Your type of dwelling:
Apartment
Condominium
Detached house
Townhouse
Other
Do you rent or own your home?
Own
Rent
If renting, are you allowed to have a dog/puppy in your dwelling and does your landlord know you're looking to purchase a puppy/dog?
Yes
No
N/A
Do you have a fully fenced and secured yard on ALL sides of your yard (not electric fencing)?
Yes
No
Are you willing to put in a fully secured fenced area for your dog?
Yes
No
Not possible where I live
Will you be attending any puppy and/or training classes?
Yes
No
Maybe
Would you be willing to attend mandatory basic Obedience classes as a term of adoption and guarantee (outlined in a contract), if Bedford Reg'd requires it?
Yes
No
Maybe
Are you interested in any competition events such as Agility, Flyball or Conformation?
Yes
No
Maybe
Does anyone in your household have asthma and/or allergies?
Yes
No
If so, please explain the allergies/asthma, the severity and if treatment is required:
Does anyone in your household smoke?
Yes
No
Has anyone in your household ever been convicted of a charge related to cruelty to animals or child abuse?
Yes
No
Are there any such charge(s) pending?
Yes
No
Has any such charge(s) ever been filed?
Yes
No
If you answered yes to any of the above, please give a disposition of the charge
Are you familiar with the health problems of Boston Terriers?
Yes
No
Are you knowledgeable of Boston Terriers' characteristics, behaviour, health and care requirements?
Yes
No
Are you aware of all the costs of dog ownership?
Yes
No
Do you have the financial means to provide OPTIMAL care and preventative and emergency Veterinary care?
Yes
No
Do you agree to our Policies, Procedures, Contract and terms therein and agree to continue to feed TLC Dog Food, Supplement with NuVet and carry health insurance until your puppy is 1 year of age, in order to maintain our guarantee?
Yes
No
Do you have any health issues (physical, mental, emotional, etc.) that will interfere with providing optimal care to your puppy/dog?
Yes
No
If you chose "Yes", please specify
Where did you hear about us?
Veterinary Clinic
Trainer
Groomer
Dog walker/Pet sitter
Pet Store
Canadian Kennel Club or Boston Terrier Club of Canada
Breeder
Family/Friend/Co-worker
Other
Are you willing/able to give references if required/asked?
Yes
No
Are you willing to give us a Veterinary reference?
Yes
No
Are you willing to allow a home visit at your home?
Yes
No
Are you filling out this application on behalf of someone else?
Yes
No
If so, what is their name and why are you filling it out on their behalf?
I have read, understand and agree to Bedford Reg'd's procedures,terms,policies and contract/guarantee
Yes
No
I acknowledge and agree that Bedford Reg'd reserves the right to decline ownership to anyone for any reason (at any stage in the adoption process) and that submitting an application or deposit, does not guarantee one a puppy/dog/sale
Yes
No
I am willing to provide Bedford Reg'd proof of my identity and address, by way of Government-issued photo ID at the time of adoption.
Yes
No
I am electronically signing this document and by doing so, I declare that the information I have given in my application is true and binding
Yes
No
APPLICATION
bottom of page