-Oregon Brittany Rescue-

Oregon Brittany Rescues Application for a Rescue Dog

Please fill the form in below.
We are only asking these questions to help place our rescue dogs into homes that might fit the dog’s personalities better.

NOTE: If you experience problems submitting this form, please feel free to contact us.

DOC version is also available, so you can download by clicking here , so please download and email us after filling all your answers.

-General Information about yourself-

First Name：

Last Name：

Email：

Address：

City： State： ZIP：

Home Phone：

Work Phone：

-About dog-

What do you want a Brittany for?: Hunting Show Family Pet Other

Sex of dog preferred： Male Female No Preference

Traits desired：

Will this dog be Indoor or Outdoor ?： Indoor Outdoor

Time dog will spend alone? where?：

Where will dog sleep?：

Will you be taking the dog to obedience training?： Yes No

Will you crate-train?： Yes No

-Tell us more about yourself-

Do you have children?： Yes. Ages of children： No

Rent or Own： Own Rent * if renting must have landlords O.K. in writing

Fenced yard?： Yes No

Have you owned a dog before ?： Yes No
If yes, what happened to it：

Have you owned a Brittany before?： Yes No

Can we contact your vet about you?： Yes No
If yes：

Vets name

Vets Phone number:

Your other hobbies：

Any questions or concerns for us to address?