Adoption Application

* Name

* Address:

* City, State and Zip

* Home Phone:

* Work Phone:

Cell Phone:

* Which number do you prefer we call?

* 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 INCLUDE YOURSELF AS WELL AND YOUR AGE

* Who will be the primary caregiver for your new dog?

* Will you be expecting to have (more) children in the future?

If you are planning on having a child/more children in the future, how will this affect the dog's place in the household? Also, how do you plan on introducing the dog to the new family member?

If no children live in the home, will any visit on a regular basis?

Yes

No

If children will visit what are the ages of those children?

* Does anyone in the household have pet allergies?

Yes

No

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

* Do you rent or own this dwelling?

Rent

Own

* Are you aware certain home owner’s insurance companies discriminate against breeds such as Dobermans and will not provide coverage if you own one?

Yes

No

* Have you checked with your home owner's insurance company to be sure owning a Doberman will not be an issue?

Yes

No

If you rent, does your landlord know you intend on adopting a Doberman (or breed you are applying for)?

Yes

No

Please list your landlord's name, address and phone number:
**If you are a renter and fail to provide your landlord's information we will NOT be able to process your application. All information is confidential and your landlord will be contacted by a member of DDR only.

If you rent, have you checked with your renter's insurance company to be sure owning a Doberman will not be an issue?

Yes

No

* What will you do with the dog if you must move in the future and dogs are not permitted in your new residence?

* 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)?

* 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?

* Where will you keep the Doberman (or breed you are applying for) when you are away from home?

* Are you familar with crate training?

Yes

No

If you are familiar with crate training, what are your thoughts on it?

* What will you do if your Doberman (or breed you are applying for) displays destructive or undesirable behaviors?

* How will you reprimand or correct your dog?

* How long do you think it will take for your new dog to adjust to his/her new environment?

* Are you willing to take your Doberman (or breed you are applying for) to a training class?

Yes

No

* How do you feel about dogs lying on furniture or sleeping in bed with you?

* How will you demonstrate you are the pack leader to your new dog?

* We attempt to provide all adopters with an honest and thorough evaluation of temperment on every dog in our care. Do you realize that often times a complete history of the Doberman may not be known and you could encounter some behavioral problems? If so, how will you deal with these problems?

* What behavioral/training issues can you deal with?

* What behavioral/training issues can you not deal with?

* Do you know that you may have to house train your new Doberman (or breed you are applying for) ?

Yes

No

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

Yes

No

* Are you financially prepared to give your new Doberman (or breed you are applying for) routine and emergency medical care? Please keep in mind, emergency costs can quickly escalate into thousands of dollars in some cases. For example - If your dog eats a toy which causes an obstruction emergency surgery could easily cost over $1000.

Yes

No

*

How much have you budgeted for the total yearly expenses such as vaccines, heartworm prevention, yearly check ups, food, toys, etc. for your dog?

* What steps have you taken to learn about the Doberman breed (or breed you are applying for) and dog ownership?

Please explain your previous Doberman (or breed you are applying for) experience (if any):

* What types of behavioral/training issues are you prepared to deal with?

* Why do you want a Doberman (or breed you are applying for)?

* Have you considered any other breeds?

Yes

No

If so, which ones?

* Why do you want to rescue versus buying a puppy or dog?

* Under what circumstances might you want to return your dog? (Examples: Marriage, new baby, divorce, behavior issues, financial stress, moving, job change, etc.)

* 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:

* It is our policy to conduct a home inspection prior to finalizing the adoption. Do you have an objection to this?

Yes

No

* 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:

* Are you interested in a dog we currently have?

Yes

No

If so, which one?

* Would you like a male or female?

Male

Female

No Preference

* 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:

Cropped (surgically cut to stand)

Natural (floppy)

No Preference

* Please select your tail preference:

Docked (surgically cut)

Natural (long, not altered)

No Preference

* Please choose the characteristics you find most appealing in a Doberman (or breed you are applying for) :

* 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.
** Also - all resident pets MUST be altered (spayed/neutered). If you have intact resident pets we will NOT be able to approve your application until all pets are altered and proof can be provided.

SPECIES --
AGE --
IF THEY ARE ALTERED --
IF THEY ARE CURRENT ON VACCINES --
WHAT BRAND OF HW PREVENTATIVE YOU USE - IF ANY --

* 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

* 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.
If you do not currently have a vet, please let us know which vet you have chosen to use.
Also - please call your vet and give them permission to speak to us in order to prevent delays with processing your application.

* How long have you been a client?

* Please list 2 personal references that are not family members:
(Include name, address, phone number, their relationship to you and how long you have known them)
******Failure to provide 2 personal references will mean your applicaiton will NOT be processed. You MUST provide this information. This information is kept confidential.

* Please list a personal reference that is a family member:
(Include name, address, phone number, their relationship to you)
******Failure to provide this personal reference will mean your applicaiton will NOT be processed. You MUST provide this information. This information is kept confidential.

* Would you consider volunteering with DDR?

Yes

No

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 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

*

E-signature:

By entering your e-signature below you agree all of the answers on this application are true and honest to the best of your ability. You also acknowledge you are prepared to share your life with a dog for many years; a dog that will be totally dependent on you for food, shelter, love, affection, safety and veterinary care (routine and emergency). Please be sure you are willing to make this life-long commitment to one of our dogs before submitting your application.

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