Bedford Reg'd Application
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".

*Please be advised, that incomplete applications (full name, email, phone, FULL LEGAL ADDRESS, answers, etc.) will be discarded and you will not receive a response from us. Thanks in advance, for your understanding!*

ATTENTION: WE SOMETIMES DO NOT RECEIVE APPLICATIONS SUBMITTED ON IPHONES. IF YOU DO NOT HEAR BACK FROM US, PLEASE CONTACT US TO CONFIRM RECEIPT! 
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Email *
When it's time to meet/pick up my puppy, for the health of my puppy and the other puppies, I promise I will NOT go to ANY pet stores, dog parks, groomers, Vets, boarding facilities, or other breeders prior to.  *
Required
First Name *
Last Name *
Phone Number *
Legal Home Address where will the puppy/dog be living *
Age & Sex (applicant) *
Occupation *
Are you interested in a: *
I have researched the breed to help determine suitability and I have contacted other breeders for information.  *
I acknowledge and I am aware that Bedford Reg'd does no cosmetic procedures/amputations! That is, we will not be removing dewclaws on our Boston Terriers and we will  NOT be docking tails or removing dewclaws on our Boxer puppies.
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Why do you want a Boston Terrier/Boxer? *
Have you ever had a Boston Terrier/Boxer 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: *
If you chose "other" in the question above, please specify:
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/ Boxer to need? *
How do you plan on exercising your dog/puppy? *
Your type of dwelling: *
If you chose "other", please specify:
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? *
Has anyone in your household ever been convicted of a charge related to cruelty to animals or child abuse? *
Are there any such charge(s) pending? *
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/Boxers? *
Are you knowledgeable of Boston Terriers'/Boxers' 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 TLC Dog/Puppy Food, Supplement with NuVet 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, 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 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 *
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 *
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.  *
I acknowledge that Bedford Reg'd will review my application/respond to my inquiry by email. Should I not acknowledge receipt within 7 days of it being sent, Bedford Reg'd will discard my application. *
Required
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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