TLC Rescue: Dog Adoption Application

Dobermans Furever Application
Please answer the following questions fully & completely. THANK YOU!
Purchaser's Name*
First & Last Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Cell Phone Number*

Area CodePhone Number
Name of your current vet or vet you intend to use*
Vet's phone number*

Area CodePhone Number
YesNo
YesNoNot ready yet, just researching
YesNo
Single Family HomeMobile HomeApartment
Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard
4' high5' high6' high
Approximate dimensions of your lot:*
YesNoSomeone lives with me is home/works from homeI work different shifts
If you work outside the home, how many hours per day are you away? *
How many hours per day will this dog be alone? Please explain.*
YesNo
As a family petTo breed with my dogTo train/use as a therapy dogTo train/use as an assistance dog for the disabledTo use as a guard dogAs a gift for a friend, partner, or family memberAs a companion for my dog(s)As a companion for my cat(s)As a companion for my child/children
Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe outside chained/tethered to a dog houseBe kept inside while we are awayBe crated when we are not homeBe outside with a dog house in a fenced areaHave free reign of the house when we are not homeBe taken to formal obedience classesBe kept on a lead line/cable in the yardWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe given away to someone else if we feel it's not a good match for usBe turned in to a shelter if we can't keep itBe free roaming on the farm (unfenced)Other
What brand of dog food do you plan to feed?*
Comments.
I understand that completing this application does not guarantee I will be owning the puppy, and that the application is a tool to help determine if the puppy and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I also certify that I have never been convicted of animal cruelty or neglect. If I am approved, I agree to pay a non-refundable rehoming fee. I also agree that my dog will be spayed/neutered at the appropriate age.
I/We have read and understand all of the above.
Applicant's Signature*
Date*
Should be Empty:

Dobermans Furever Application