Doberman Rescue of the Triad -- Application Process & Application

Doberman Rescue of the Triad was created to find homes for abandoned, abused and neglected Doberman Pinschers. Interested in adopting one of these truly loyal companions? Consider Doberman Rescue of the Triad. Chances are, we have the right dobe for you!

Adoption Process & Application

Our adoption process is stringent to ensure our "Doberkids" are accepted into the "right" home. We ask that you fill out our application below to begin our process.

Thank you for being as thorough in the form details as we are in our dedication to matching the perfect dog with the perfect family.

* Required Fields *

Primary Adoptive Parent
First Name*:		Last*:
Secondary Adoptive Parent
First Name:		Last:
Address*:
City*:	State: Zip:
Home Phone*:	Work: Cell:
Fax:		Email*:
Occupation:		Employer:
Address:
City:	State: Zip:

How long at your present job:

Have you ever been charged with animal or child abuse?

Yes No If Yes - When:

LIVING SITUATION:

House: Condo: Townhome:
Apartment: Mobile Home: Other:

Own Rent Other:

Are you planning to move in the near future? Yes No Location:

PLEASE TELL US WHAT TYPE OF DOBERMAN YOU WOULD LIKE TO ADOPT:

Male: Female: Either:

Color Preference:

Cropped Ears: Natural Ears: No Preference:

Under 6 mos 6 mos to 1 yr 1 to 3 yrs 3 to 5 yrs Over 5 yrs No Preference

Why do you want a Doberman?

What qualities do you most desire in a Doberman? (Quiet & Reserved ... Active ... For Agility Training)

Have you or your spouse owned a Doberman before?Yes No
If yes, how long ago?

What happened to it?

Are there other animals in the home?: Yes :No

If yes: Type or Breed

Age(s) Sex(es) Neutered/Spayed Yes No

Where are these animals kept?

What other animals have you owned in the past 5 years?

If you had dogs, what happened to them?

What kind of problems did you have with them?

Have you ever given away, sold or surrendered a dog before and why?

May we visit your home? Yes No

Do You Have A Fenced Yard? Yes No

Type of fence: Height:

Approximate Dimension:

Attached to house? Yes No

If you do not have a fence, how will the dog be exercised?

VETERINARY HISTORY:

Name*:
Address*:
City:	State: Zip:
Phone*:

Are your Pets current on all vaccinations, Rabies shots, heartworm and fecal tests?
Yes No

Dates for each
For Each Pet

i.e. Pet #1 10/28/2003, Pet #2 10/28/2003, etc.

DHLPP:

Bordatella:

Rabies:

Heartworm:

Fecal:

Are your pets current on heartworm preventative? Yes No

Name Brand:

Pets Seen By Veterinarian --
Names & Breeds:

List other veterinarians that you have used in the past. Please include Address and Phone Numbers:

OTHER INFORMATION:

Do your neighbors have pets? Yes No
Describe:

Are they aware that you will be adopting a Doberman? Yes No
Reaction:

Comments:

Other adults in home: Yes No Number:

Are there children in the home? Yes No Number: Ages:

How long will dog be alone each day?

How much time a day would be spent playing/training dog?

Where will dog be housed during most of the day?

Where will dog be housed during the night?

Will dog sleep in home? (Describe):

Other (Describe):

Feelings about crate use and do you own one?

Dog food to be fed (please be specific):

Who will care for dog when you are out of town?

List any Humane Societies, Organizations, Breed or Training clubs you are associated with:

How did you hear about Doberman Rescue of the Triad?

Are you currently registered with any other Doberman Rescues?

Would you be willing to take the adopted dog to obedience classes? Yes No

How would you handle a destructive dog?

How would you handle a dog digging?

How would you handle a dog chewing?

How would you handle a dog that needs house training?

How would you handle a dog that jumps on people?

TERMS AND CONDITIONS

Doberman Rescue of the Triad reserves the right to refuse adoption of any Doberman in its program for any reason.

I AGREE THAT THE DOBERMAN I ADOPT FROM DRT WILL NOT BE USED FOR BREEDING PURPOSES, AND WILL BE ALTERED ACCORDING TO THE ADOPTION CONTRACT.
I AGREE THAT IF I CANNOT KEEP THE DOBERMAN FRO ANY REASON, I WILL RETURN IT TO DRT IMMEDIATELY, FORFEITING ANY ADOPTION FEE AND/OR DONATION GIVEN TO DRT.
DRT CANNOT HOLD DOGS INDEFINITELY. A DEPOSIT WILL BE REQUIRED, OR THE DOG WILL BE MADE AVAILABLE FOR THE NEXT ADOPTER. IF THE DOG IS NOT PICKED UP BY THE ADOPTER WITHIN THE AGREED-UPON-TIME, ADOPTER FORFEITS DEPOSIT AND ALL CLAIMS TO DOG.

I HAVE READ THIS ADOPTION APPLICATION IN ITS ENTIRETY AND HAVE UNDERSTOOD AND ANSWERED EACH QUESTION TO THE BEST OF MY ABILITY AND AGREE TO THE TERMS AND CONDITIONS.
Yes No * Required *

Contact: Carol Fama P. O. Box 13979 Greensboro, NC 27415-3979
Rescue Areas Covered, but not limited to GA, NC, SC, VA, WV
phone: 336.621.3453 e-mail: FamaDobes@aol.com fax: 336.621.9206 (no cover sheet required)
© 2003- 2007 Doberman Rescue of the Triad

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