British Columbia Bouvier Rescue Adoption Application Form

Thank you for your interest in the Bouvier des Flandres. We are grateful you have expressed an interest in our Bouviers for adoption. The Bouviers we offer have been carefully screened by those knowledgeable in the breed and we feel they are very desirable dogs. We hope to provide them with excellent homes. For each Bouvier adopted, we ask payment for actual expenses incurred or a minimum of $250.00

Please complete the following questionnaire so we may become better acquainted. When completed please click Submit at the bottom.

PLEASE READ!!!  Note that all fields must be filled in prior to submitting this form.

If any field is left blank, an error will appear.  You will be given a chance to go back and correct the problem.   Just press the BACK button on your browser to go back to your application.  Be sure to place n/a or some other character in the fields you have no information for.

If you experience any problems with this form, please e-mail the


You should double check your return address before sending.

Full Name Phone Number






Street Address City Province/State Postal/Zip





Enter Your E-mail address:





Place of Employment Phone Number





Street Address City Province/State Postal/Zip





Spouse's Employment Phone Number





Street Address City Province/State Postal/Zip





Number of children and ages:





Who in the family wants the dog?:





How did you hear of our rescue program?:







Have you ever owned a Bouvier before?





If not, why do you want one now?:







What books, literature, etc. have you ever read on this breed?:







What appeals to you about a Bouvier?:







What other breeds of dogs have you owned?:







How long did you own the dogs and how long did each live?:








Would you tell us what happened to each dog?:








Did you ever experience any training or behavior problems with your dogs? Explain:








Have you ever taken a dog to obedience classes?:





Would you be willing to take your dog to obedience classes?:





How many dogs do you own now?:





What breeds, sex and age?:








What other pets do you own?:





Are your dogs spayed and/or neutered?:





Do you live in an apartment or a house?:





Do you rent or own?:





Name of Landlord Phone Number





Street Address City Province/State Postal/Zip





Does the landlord agree to a dog and having a dog in the house?:





Do you have a fenced yard or dog run?: Type and Height:





Approx. size of fenced area?: Is fenced area attached to house?:





Where will the dog stay during the day?:





Where will the dog stay during the evening?:





Where will the dog stay while you are at work or otherwise away from your home?:





How do you feel about crate (dog cage) training your dog?:





Do you prefer a male or female?:





Why?:







Name of your veterinarian Phone Number





Street Address City Province/State Postal/Zip





Are you aware of the expenses of owning a dog?:





What expenses do you expect to incur when owning a dog?:







Are you aware of the expense of professional grooming?:





Do you know how to groom a Bouvier: Are you willing to learn?:





It is important to socialize, train and groom this breed. Can you tell me why and how
you plan to accomplish this?:










What type of problems might you expect to see with a rescue dog?:








Are you willing to work with these problems?:







Do you have any questions or concerns regarding owning a rescue dog that we
might answer? Please explain:?:









Are you willing to give the dog at least six months to adjust to you, your family
and his new environment?:






What would, in your opinion, constitute prime reasons for giving a dog up,
or "getting rid" of a dog?:









Would you object to a follow-up visitation by a representative of Bouvier Rescue?:






If asked, are you willing to show proof of veterinary bills and training?:






Are you willing to give the Bouvier back to us if you can no longer keep or want
this dog or the BC Bouvier Rescue determines that the dog is not appropriate for
your home?:







Is there a specific dog you are interested in? If so what is his/her name?:






Additional comments:










Please list three references, not related to the family.

Reference One Name Phone Number





Street Address City Province/State Postal/Zip





Relationship:






Reference Two Name Phone Number





Street Address City Province/State Postal/Zip





Relationship:






Reference Three Name Phone Number





Street Address City Province/State Postal/Zip





Relationship: