Adoption Application
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Name
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Address:
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City, State and Zip
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Home Phone:
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Work Phone:
Cell Phone:
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Which number do you prefer we call?
Home
Cell
Work
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E-mail Address:
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Occupation:
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Employer:
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Name of Spouse/Significant Other:
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Occupation of Spouse/Significant Other:
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Employer of Spouse/Significant Other:
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Please list the NAMES, AGES and RELATIONSHIP (to you) of all other household members:
PLEASE INCLUDE YOURSELF AS WELL AND YOUR AGE
If no children live in the home, will any visit on a regular basis?
Yes
No
I children will visit what are the ages of those children?
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Does anyone in the household have pet allergies?
Yes
No
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Please choose the type of dwelling in which you live:
House
Condo/Apartment
Townhome
Duplex
Other
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Do you rent or own this dwelling?
Rent
Own
If you rent, does your landlord know you intend on adopting a Doberman?
Yes
No
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Please list your landlord's name, address and phone number:
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Do you have a fenced yard?
Yes
No
If you do have a fence what type of fence do you have and what is the height of the fence?
If you do not have a fenced yard, how do you plan to properly exercise your Doberman (or breed you are applying for)?
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Is anyone in the household home during the day?
Yes
No
If not, how long will the Doberman (or breed you are applying for) be alone in a 24 hour period?
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Where will you keep the Doberman (or breed you are applying for) when you are away from home?
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Are you familar with crate training?
Yes
No
If you are familiar with crate training, what are your thoughts on it?
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What will you do if your Doberman (or breed you are applying for) displays destructive behavior(s)?
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Are you willing to take your Doberman (or breed you are applying for) to a training class?
Yes
No
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Do you know that you may have to house train your new Doberman (or breed you are applying for) ?
Yes
No
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Are you familiar with your local leash/licensing laws?
Yes
No
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Are you financially prepared to give your new Doberman (or breed you are applying for) routine and emergency medical care?
Yes
No
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Have you previously owned a Doberman (or breed you are applying for) ?
Yes
No
Please explain your previous Doberman (or breed you are applying for) experience (if any):
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Why do you want a Doberman?
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Have you considered any other breeds?
Yes
No
If so, which ones?
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Why do you want to rescue versus buying a puppy or dog?
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Have you contacted any other rescues/shelters about adopting a dog?
Yes
No
If so, please list the name(s) of the rescue(s) and/or shelter(s) you contacted and who you spoke with:
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It is our policy to conduct a home inspection prior to finalizing the adoption. Do you have an objection to this?
Yes
No
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We require updates and communication post-adoption. Would you have an objection to this?
Yes
No
Information about the Doberman you would like to adopt:
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Are you interested in a dog we currently have?
Yes
No
If so, which one?
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Would you like a male or female?
Male
Female
No Preference
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Please select your color preference:
(check all that apply)
Black/Rust
Red/Rust
Blue/Rust
Fawn/Rust
White
No Preference
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Please select your age preference:
(check all that apply)
Under 1 year
1-3 years
4-6 years
6-8 years
8 years and over
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Please select your ear preference for your Doberman:
Cropped (surgically cut to stand)
Natural (floppy)
No Preference
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Please select your tail preference:
Docked (surgically cut)
Natural (long, not altered)
No Preference
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Please choose the characteristics you find most appealing in a Doberman (or breed you are applying for) :
Dominant
Submissive
Shy
Confident
Aggressive
Protective
Loving
Active
Calm
Intelligent
Playful
Independent
Other
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Please list all current pets and the following information for each pet -
** Please include ALL requested information for each of your current pets. Failing to provide this information will cause a delay in processing your application.
SPECIES --
AGE --
IF THEY ARE ALTERED --
IF THEY ARE CURRENT ON VACCINES --
WHAT BRAND OF HW PREVENTATIVE YOU USE - IF ANY --
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Please list all previous pets.
List their species, age at passing and why they passed away.
** Please include ALL requested information for each of your previous pets. Failing to provide this information will cause a delay in processing your application.
References
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Please list your current veterinarian's name, address and phone number:
**Please Note: If you do not currently have a pet, but have had pets in the past, please list the vet you used for your previous pets.
Also - please call your vet and give them permission to speak to us in order to prevent delays with processing your application.
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How long have you been a client?
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Please list 2 personal references that is not family members:
(Include name, address, phone number, their relationship to you and how long you have known them)
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Would you consider volunteering with DDR?
Yes
No
If yes, in which area(s).
Please mark all that apply.
Fostering
Transportation
Donations
Fundraising
Phone calls
Interviews
Other
Thank you for taking the time to complete this application.
We will review it as soon as possible and contact you within the next seven days.
We are made up solely of volunteers and do our very best to process applications as quickly as possible so your patience is appreciated.
If you would like to tell us anything additional, please use the space below.
Thank you,
DDR BoD
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