16541 Valley Drive NW
Andover, MN 55304
Tim's cell 763-464-6178
Sabrina's Cell 763-486-6176
Thank you for your interest in our St. Bernard’s. In order for us to be assured that the puppy you will be purchasing will be best suited to your home and lifestyle will you please take a few minutes to print out and complete this questionnaire and return it to us with your $500.00 deposit, which is refundable if we don’t have a puppy for you. Make your check payable to: Tim S. Hiltz
Buyers Contact Information:
NAME (S) :____________________________________________________________________
HOME PHONE:_____________________________ CELL PHONE:________________________
How did you hear about us?_______________________________________________________________________________
Do you have children? _____Yes _____No If so how many?____ Ages?
Is anyone in your family allergic to animals? _____Yes _____No; if so
Have you ever purchased a dog from us before? ____Yes _____No; if so when?
Do you own any other pets at this time? _____Yes _____No; if so please list below:
Where do you live? ___House ___Townhouse/condo ___Apartment___Other________
Do you own or rent your home? _____Own _____Rent, if so does your Landlord allow
pets? ____Yes ____No Landlords name:___________________________________
Do you have a fenced yard? ____Yes ____No. If fenced describe the height and type of
Where will your dog be kept during the day?__________________________________
Where will your dog be kept during the night?_________________________________
When you are at work or out for the day where will your dog be kept?____________________________________________________________________
Will your dog be allowed in the house?______________________________________
Do you believe in crate training your dog? _____Yes _____No, why not?____________
On average how long will your dog be home alone during the day?_________________
Do you prefer a _____Male _____Female _____No preference Why?
Do you prefer a _____Longhair _____Shorthair _____No preference
Why do you want a St. Bernard?_____________________________________________________________________
Are all members of your household interested in getting a St. Bernard?_____________________________________________________________________
St. Bernard's are very people oriented dogs and require a lot of attention. Do you have enough
time to care for a St. Bernard properly? ______________________________________________________________________
Who will be the primary care giver for your new puppy/dog?______________________________________________________________________
Have you ever owned a St. Bernard or giant breed dog before? _____Yes _____No
Do you realize that St. Bernards often weigh close to 100 lbs by 6 months of age, shed profusely
twice a year, often drool or slobber and are prone to orthopedic problems?
Do you have a veterinarian who is well versed with the giant breeds and their health issues?
Please list your current Veterinarian, clinic, address and phone number:
Are you aware that because of their size veterinarian care for a St. Bernard may run between
$600 and $1200 per year for just normal care (Shots, heartworm preventative etc)?
Have you ever had to put a dog to sleep?______
How did your last dog die, and at what age?________________________________________________________________________
What are your goals for this dog? ____Companion _____Show _____Breeding
______Gift ____Other, explain
What qualities do you want to see in your Saint?
What qualities don’t you want to see?
Have you ever taken a dog through obedience school?____________
Will you be taking this dog through obedience school?_____
WILL YOU BE WILLING TO SIGN A CONTRACT THAT STIPULATES THE FOLLOWING:
- That you will not re-home or re-sell this dog at any time without first offering us, the breeders, the
chance to take this dog back. Initial_____
- That, if this dog is sold on a non-breeding contract, you will spay or neuter this animal by the age
of 18 months or later and furnish us with proof of this operation or ownership of this dog will revert back to us,the breeders. Initial_____
- All dogs sold on a non-breeding contract will come with a “Limited registration”. Which means that
they can be registered with the American Kennel Club (AKC) and show in the preformance events,
but any puppies that would be produced by this animal could not be registered. Initial____
- That the only way to negate a non-breeding contract would be to bring the dog back to us to be
re-evaluated and/or to obtain championship points on this dog. Initial____
- That you would be willing to do at least one basic obedience class (8 wks) with this dog. Initial_____
Yes, I would be willing to sign such a contract______ No I would not sign such a contract______,
We love our dogs and want to find good home for them. The information you provide lets us know what your expectations are and will assist us in placing the right puppy in his/her forever home with you.
I/We certify that all of the information to be contained in this application to purchase a puppy from Blue Collar St. Bernard's to be true to the best of my/our ability.