* :
Have you ever been charged with animal or child abuse?
Yes
No
If Yes - When:
LIVING SITUATION:
Type of Residence *
Ownership *
Are you planning to move in the near future? *
May we visit your residence? *
Do You Have A Fenced Yard? *
Approximate Dimension:
Attached to House?
If you do not have a fence, how will the dog be exercised?
Are There Other Adults In The Residence *
Are there children in the home? *
PLEASE TELL US WHAT TYPE OF DOBERMAN YOU WOULD LIKE TO ADOPT:
Sex Preference *
Color Preference: *
Black
Red
Blue
Fawn
White
No Preference
Ear Prefrence *
Age Preference * (check all that apply)
Did you see any specific Dobermans on the site that you were interested in adopting? *
Enter 'No' or if so please enter their name(s) in order of preference.
Why do you want a Doberman? *
What qualities do you most desire in a Doberman? *
Other Dogs / Animals
Have you or your spouse owned a Doberman before? *
Are there other animals currently in the home? *
What other animals have you owned in the past 5 years? *
Have you ever given away, sold or surrendered a dog before and why? *
Do your neighbors have pets? *
Are they aware that you will be adopting a Doberman? *
VETERINARY HISTORY:
List the veterinary clinic you currently use:
NOTE: Please verify that you listed the correct address and phone number for your veterinarian's office. Incorrect information, or listing your personal phone number, will delay the application process.
Names of Pets Seen By Veterinarian * List the Name & Breed - 1 per line
List other veterinarians that you have used in the past. * Enter 'none' if you have not. Please include Address and Phone Numbers
Pets Medical HISTORY:
Are your Pets current on all vaccinations, Rabies shots, heartworm and fecal tests? *
Do you vaccinate for Distemper/Parvo ?
Do you vaccinate for Bordatella?
Do you vaccinate for Rabies?
Do you test for heart worms?
Do you have fecal tests performed?
Are your pets current on heartworm preventative * ?If yes, list the brand
OTHER INFORMATION
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? *
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 * Enter 'none' if not any.
Would you be willing to take the adopted dog to obedience classes? *
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? *
How did you hear about Doberman Rescue of the Triad? *
Are you currently registered with any other Doberman Rescues? *
If Yes, list please list the Agencies:
Additional Comments or Questions
Enter any addional comments or questions below you may have about this application.
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 FOR 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.
