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.

Adoptive Parents Info

Primary Adoptive Parent

First Name*:

Last*:

Secondary Adoptive Parent

First Name:

Last:

Address*:

Maximum of 100 characters

City*:

State*:

Zip*:

Home Phone*:

Cell Phone*:

Fax:

County *:

(not country)

Email*:

Employment Information - Primary Adoptive Parent

Occupation (primary): *

Employer: *

Address: *

City *:

State*:

Zip*:

Employer Phone *:

How long at your present job *:

Employment Information - Secondary Adoptive Parent

Occupation (secondary):

Employer:

Address:

City:

State:

Zip:

Employer Phone:

How long at your present job *:

Have you ever been charged with animal or child abuse? *

Yes No

If Yes - When:

LIVING SITUATION:

Type of Residence *
House     Condo     Townhouse
Apartment     Mobile Home     Other
    If 'Other' please list here:

Ownership *
Own Rent Other
If 'Other' please list here:

Are you planning to move in the near future? * Yes No
If 'Yes' please list location here:

May we visit your residence?* 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?

Are There Other Adults In The Residence * Yes No

If yes, enter the Number of adults in the home
Ages of Adults in home

Are there children in the home? * Yes No

If yes, enter the Number of children in the home
and Information of Children in the home (Including age, gender)

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

Sex Preference *
Male Female Either

Color Preference: *

Ear Prefrence *
Cropped Natural No Preference

Age Preference * (check all that apply)

Under 6 Months
6 Months To 1 Year
1 Year To 3 Years
3 Years To 5 Years
Over 5 Years
No Preference

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? *
(Quiet & Reserved ... Active ... For Agility Training)

Other Dogs / Animals

Have you or your spouse owned a Doberman before? *
Yes No

If yes, How long ago?

If yes, what happened to it?

Are there other animals currently in the home? *
Yes No
If yes, list type or breed, age, sex, neutered or not and where they were kept for each animal

What other animals have you owned in the past 5 years? *
Enter 'none' if you have not had other dogs. 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? *
Yes No
If yes, list the reasons below.

Do your neighbors have pets? *
Yes No
If yes, please describe:

Are they aware that you will be adopting a Doberman? *
Yes No
If yes, what was their reaction:

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. Please contact your vet office upon completing this application and give approval for DRT to verify your vet history. Not doing so could result in a delay in processing or your application not being processed. Incorrect information, or listing your personal phone number, will delay the application process.

Name of Clinic*
Address*
City*
State*
Zip*
Phone*

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?*
Yes No

Do you vaccinate for Distemper/Parvo?

Yes No

Do you vaccinate for Bordatella?

Yes No

Do you vaccinate for Rabies?

Yes No

Do you test for heart worms?

Yes No

Do you have fecal tests performed?

Yes No

Are your pets current on heartworm preventative*?
Yes No

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? *
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? *

How did you hear about Doberman Rescue of the Triad? *

Are you currently registered with any other Doberman Rescues? *
Yes No

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.

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.

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: [email protected] fax: 336.621.9206 (no cover sheet required)
© 1997 - 2022 Doberman Rescue of the Triad