Form
Adoption Application
Dobies and Little Paws Rescue
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
I live with (check all that apply):
*
Spouse/Significant Other
Kids
Roommate(s)
None
Ages of EVERYONE living in the home (including yourself, roommates, family, and kids)
*
Names of dogs you're interested in specifically from our website:
*
I'm interested in a (check all that apply):
*
Doberman
Doberman Mix
Small Dog
Other
I'm interested in a (check all that apply):
*
Male
Female
Do you have any size preferences/restrictions?
*
I'm interested in (check all that apply):
*
Black/Tan
Red/Tan
Blue/Tan
Fawn/Tan
Other
I'm interested in (check all that apply):
*
Cropped
Natural Ears
Docked
Natural Tail
I'm interested in a (check all that apply):
*
Puppy (under 1 year)
Young (1-3 years)
Adult (4-6 years)
Older (7 years and older)
Other
What activities do you want to enjoy with your dog?
*
I would like a dog as a (check all that apply):
*
Companion for another dog
Companion for adults
Companion for children
House pet, not protective
House pet, protective
Outside pet, protective
I live in a:
*
House
Condo
Apartment
Other
Check the one that applies:
*
I own my home
I rent my home
Are you the actual home owner?
*
Yes
No
If not, please state the name and relation of home owner:
*
*If you are the homeowner then please write "not applicable"
If you rent, do you have written permission from your landlord to have a dog/Doberman?
*
*If you do not rent then please write "not applicable"
How long have you lived there?
*
Are there any breed or size restrictions?
*
Does your homeowner's insurance (or your landlord's liability insurance) exclude any dog breeds?
*
Do you have a fenced yard?
*
Yes
No
If yes, please describe the height and material of fencing:
*
Have you owned dogs before?
*
Yes
No
Do you currently have other dogs living with you?
*
Yes
No
How many dogs currently live with you?
*
Breeds of the dogs currently living with you:
*
Genders of the dogs currently living with you? Are they spayed/neutered?
*
Do you own cats?
*
Yes
No
Please list any other animals living with you (other than cats/dogs):
*
*If you have no other animals please write "not applicable"
If you have had dogs in the past then please describe why they no longer live with you (i.e. deceased, re-homed, how and why):
*
How many hours a day would the dog be alone?
*
Have you housebroken a dog before?
*
Yes
No
Please describe how you would housebreak a dog:
*
Are you potentially ready to adopt and take home a dog on the day you visit?
*
Submit
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