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Application/Pre-Adoption Agreement
Thank-you in advance, for your interest in our dogs and for taking the time to fill out our application! We will review it initially by email, followed by a phone conversation. Please be advised that the required fields/questions are mandatory and incomplete forms will be discarded. For any required fields that don't apply to you, please indicate "N/A".

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Email *
The current pricing for our Boston Terrier puppies is $4500 plus tax and $3500 plus tax for our Pugs. The Waiting Pool Deposit is $500 ($200 non-refundable). The full puppy deposit is $1500 ($200 is non-refundable).

*There is a 3% service fee for credit card payments*

Adoption/ownership requirements for pet puppies are:

1) Signed Pet Puppy contract/guarantee involving mandatory spaying/neutering
2) Signed CKC Non/Breeding agreement
3) Signed CKC Co-ownership Form 
4) Feeding TLC Puppy/Dog food
5) Supplementing with NuVet Plus (and NuJoint Plus between the ages of 6 and 12 months if pursuing our two year contract)

After carefully reviewing Bedford Reg'd's procedures, pricing and adoption/ownership requirements, I am seriously interested in getting into Bedford's Waiting Pool and/or available puppies/dogs and I request my Application to be reviewed. 
 *
First Name *
Last Name *
Phone Number *
Legal Home Address where will the puppy/dog be living *
Social Media (Instagram, Facebook, etc.) - Optional
Age & Sex (applicant) *
When it's time to meet/pick up my puppy (after they have been vaccinated, certified healthy and deemed ready to go by our Vet), for the health of my puppy, the other puppies and puppies/dogs in Bedford's home, I promise I will NOT go to ANY pet stores, dog parks, groomers, Vets, boarding facilities, or other breeders prior to picking up/going to Bedford's home. *
Occupation *
I have researched the breed to help determine suitability and I have contacted other breeders for information.  *
Do you want a Boston Terrier or a Pug? *
Why do you want a Boston Terrier/Pug? *
Have you ever had a Boston Terrier/Pug before? If so, what happened to him/her (them)? *
Have you ever owned a dog(s) before? If so, what was the breed and what happened to him/her (them)? *
Do you have any pets now? If so, how many and what are the species and breed(s) of your animals? *
Have you ever given an animal(s) away, or euthanized/put an animal(s) down? If so, what were the circumstances and what happened to the animal(s)? *
What would be a good/appropriate reason to give a dog away? *
Who will be the primary caregiver of the puppy/dog? *
Where will the puppy/dog be kept during the night? *
Where will the puppy/dog be kept during the day? *
Approximately how many hours will the puppy/dog be left alone? *
Will there be someone available to feed and exercise the puppy/dog during the day? *
Have you researched what is all involved in house training a puppy/dog and are you prepared to do so? *
Are you willing to hire a pet sitter/dog walker/trainer to help you with house training if necessary? *
Do you have children? If so, how many and what are their ages? *
Are you interested in a male, female or either sex? *
Are you interested in a puppy, juvenile, adult or a dog of any age? *
Are you looking for a puppy/dog for: *
What characteristics and attributes (temperament, size/weight, colour/marking)s,  are you looking for in a puppy/dog? *
How much exercise do you expect a Boston Terrier/Pug to need? *
How do you plan on exercising your dog/puppy? *
Your type of dwelling: *
Do you rent or own your home? *
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? *
Do you have a fully fenced and secured yard on ALL sides of your yard  (not electric fencing)? *
Are you willing to put in a fully secured fenced area for your dog? *
Will you be attending any puppy and/or training classes? *
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? *
Are you interested in any service work?  *
If you're interested in service work, please specify: *
Are you interested in any competition events such as Agility, Flyball or Conformation? *
Have you ever shown a dog to any performance titles? If so, please specify
If you want a dog for show/breeding, what are your plans for the dog after their show/breeding career?
Does anyone in your household have asthma and/or allergies?  *
If so, please explain the allergies/asthma, the severity and if treatment is required:
Does anyone in your household smoke/vape any substance inside the home? *
Has anyone in your household ever been convicted of a charge related to cruelty to animals or child abuse? *
Has any such charge(s) ever been filed? *
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/Pugs? *
Are you knowledgeable of Boston Terriers'/Pugs' characteristics, behaviour, health and care requirements? *
Are you aware of all the costs of dog ownership? *
Do you have the financial means to provide OPTIMAL care and preventative and emergency Veterinary care? *
Do you agree to our Policies, Procedures, Contract and terms therein and agree to continue to feed a recommended/"quality defined" Dog/Puppy Food (or otherwise approved food), Supplement with NuVet (currently paused) and carry health insurance until your puppy is 1 year of age, in order to maintain our guarantee? *
Do you have any health issues (physical, mental, emotional, etc.) that will interfere with providing optimal care to your puppy/dog? *
If you chose "Yes" above, please specify
What are your expectations of a breeder? *
Where did you hear about us? *
Name of person who referred you *
This application is in consideration for (e.g. what available puppy, dog, litter, timeframe, etc.) *
Are you willing/able to give references if required/asked? *
What is the name and address of your Vet? If you don't have a Vet, what Vet(s) are you considering? *
Are you willing to give us a Veterinary reference? *
Are you willing to allow a home visit at your home? *
Are you filling out this application on behalf of someone else? *
If yes, 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 *
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, deposit/money in any amount, or signing a contract does not guarantee me a puppy/dog/sale. *
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 IF Bedford Reg'd requires it.  *
Comments/Questions
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.  *
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