Adoption Application
* Name
* Address:
* City, State and Zip
* Home Phone:
* Work Phone:
Cell Phone:
* E-mail Address:
* Occupation:
* Employer:
* Name of Spouse/Significant Other:
* Occupation of Spouse/Significant Other:
* Employer of Spouse/Significant Other:
* Please list the names, ages and relationship (to you) of all other household members:
(please list your age as well)
If no children live in the home, will any visit on a regular basis?

* Does anyone in the household have pet allergies?

* Please choose the type of dwelling in which you live:




* Do you rent or own this dwelling?

If you rent, does your landlord know you intend on adopting a Doberman?

* Please list your landlord's name, address and phone number:
* Do you have a fenced yard?

If you do not have a fenced yard, how do you plan to properly exercise your Doberman?
* Is anyone in the household home during the day?

If not, how long will the Doberman be alone in a 24 hour period?
* Where will you keep the Doberman when you are away from home?
* Are you familar with crate training?

If you are familiar with crate training, what are your thoughts on it?
* What will you do if your Doberman displays destructive behavior(s)?
* Are you willing to take your Doberman to a training class?

* Do you know that you may have to house train your new Doberman?

* Are you familiar with your local leash/licensing laws?

* Are you financially prepared to give your new Doberman routine and emergency medical care?

* Have you previously owned a Doberman?

Please explain your previous Doberman experience (if any):
* Why do you want a Doberman?
* Have you considered any other breeds?

If so, which ones?
* Why do you want to rescue versus buying a puppy or dog?
* Have you contacted any other rescues/shelters about adopting a dog?

If so, please list the name(s) of the rescue(s) and/or shelter(s) you contacted and who you spoke with:
* It is our policy to conduct a home inspection prior to finalizing the adoption. Do you have an objection to this?

* We require updates and communication post-adoption. Would you have an objection to this?

Information about the Doberman you would like to adopt:
* Are you interested in a Doberman we currently have?

If so, which one?
* Would you like a male or female?


* Please select your color preference:
(check all that apply)





* Please select your age preference:
(check all that apply)




* Please select your ear preference for your Doberman:


* Please select your tail preference:


* Please choose the characteristics you find most appealing in a Doberman:












* Please list all current pets.
List their species, age, if they are altered and if they are current on vaccines.
* Please list all previous pets.
List their species, age at passing and why they passed away.
References
* Please list your current veterinarian's name, address and phone number:
* How long have you been a client?
* 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)
* Would you consider volunteering with DDRI?

If yes, in which area(s).
Please mark all that apply.






* Thank you for taking the time to complete this application.
We will review it as soon as possible and contact you within the next 48 hours.
If you have any concerns or would like to tell us anything more, please use the space below.
Thank you again.

DDRI
* Indicates Response Required


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