| * Your Full Name/s * Your Email Address * Place of Residence? * Marital Status Single Married DeFacto * Children Number & Ages (check all applicable boxes) * Do you have any children? Yes No Babies Toddlers Pre-School 5 - 10 yr olds 10 - 12 yr olds Teenagers * Type of Residence Own Home On Acres In a Unit / Flat Renting * Have you had any pets in the past? (please give details) * Do you currently have any other pets? (please give details) * Why do you want a Saint Bernard? * What do you want a Saint Bernard for? Pet / Companion Showing Obedience / Training Breeding * What type of Saint Bernard are you looking for? (check boxes that apply) Male Female Rough coat Smooth Coat Puppy Juvenile Older Saint Rescue Saint * When did you want a Saint Bernard? Now As soon as one is available In the near future Just looking for now * How will your Saint Bernard be housed? A house dog In the yard In a kennel outside Free roam of house and yard * Is there anything else you would like to tell us about yourself? * Would you like us to add you to the DeSaix waiting list? Yes No |