Adoption Application

Adoption Application
*** Note: we normally do not place dogs out of state. We always do a home visit before an adoption, so the adopter must live within an hour of Atlanta, give or take a little. If you have any questions about eligibility for adoption or there's anything you want to ask before filling out this lengthy application, please feel free to email us at info@dobermanrescueatlanta.com

We do not sell the dogs available for adoption. The minimum donation to adopt one of our dogs is $250. This helps cover the cost of initial vetting, vaccinations, spay/neuter, microchipping, heartworm testing and other expenses incurred in caring for the dogs.
If you are applying for a specific dog, which dog?
Applicant's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Gender*

MaleFemale
Age*
Occupation*
If retired enter "retired"
Employer
Word Days & Hours
Do you work from home?

YesNoSometimesMost of the timeI am retiredI am currently unemployed
Has applicant ever been charged with animal cruelty, animal abuse or animal neglect?*

YesNo
Has applicant ever been charged with domestic violence or child abuse or child neglect?*

YesNo
Is there a spouse or partner living in the home?*

YesNo
Spouse/Partner's Name

First NameLast Name
Spouse/Partner's Email
example@example.com
Spouse/Partner's Phone Number
Please enter a valid phone number.
Spouse/Partner's Age*
Spouse/Partner's Gender*

MaleFemale
Partner's Occupation
Partner's Employer
Partner's Work Days & Hours
Does spouse/partner work from home?

YesNoSometimesMost of the timeRetiredCurrently unemployed
Has spouse/partner ever been charged with animal cruelty, animal abuse or animal neglect?*

YesNoI don't know
Has spouse/partner ever been charged with domestic violence or child abuse or child neglect?*

YesNoI don't know
Family Information
Is everyone in your home agreeable to adopting a dog?*
Is anyone in your home allergic to dogs?*

YesNoNot sure
Does anyone in your home have serious health issues?*

YesNo
If yes, please explain
Does anyone in your home smoke?*

YesYes, but only outsideNo
Do you have children living in the home, full or part time?*

YesNo
List names and ages of children and whether they live in the home full or part time.
Who else lives in the home, other than applicant, spouse and children?
Will the dog be exposed to children who do not live in the home?*

YesNoNot sure
Describe children and circumstances under which the dog will interact with them.
Do you live in a ...*

HouseMobile HomeApartmentCondoTownhomeOther
Do you rent or own the home?*

RentOwnRent-to-own
Do you have your landlord's permission to have a dog inside the home?*

YesNoI'll need to ask
Landlord's Name*

First NameLast Name
Landlord's Phone Number*
Please enter a valid phone number.
How long have you lived at this address?*
Do you plan to move any time soon?*

YesNo
When are you planning to move?*
Are you willing to let a volunteer visit your home?

YesNoMaybe
Do you have a dog door?*

YesYes, but I'm planning to remove itNoNo, but I'm planning to install one
Do you have a dog run?*

YesYes, but I'm planning to remove itNoNo, but I'm planning to install one
Do you have a fenced yard?*

YesYes, but I'm planning to remove itNoNo, but I'm planning to install one
What type of fence, and height?
How will the dog be exercised, whether or not you have a fence?
Must your new dog get along with regular visitors (human or animal) to your home?*

YesNoNot sure
Describe the visitors
Explain any concerns you have about a newly adopted dog and visitors to your home.
Current Pets
Do you have any dogs*

YesNo
List names, ages, genders and breeds of your current dogs
Do you have any cats?*

YesYes, but only outdoor catsNo
How many cats?
Do you have any other pets?*

YesNo
Describe other pets
Past Pets
Have you had any pets in the past, other than the ones already mentioned?

NoneDog(s)Cat(s)Other pet(s)
Describe past dogs - give names, ages, breeds and reason you no longer have them.
Were your past pets spayed/neutered?*

YesNoSome, but not allNot sure
Have you ever given away or sold a pet?*

YesNo
Veterinarian Info
Are you currently taking your pet(s) to a veterinarian, or have you taken a pet to a veterinarian in the past 10 years?*

YesYes, but I don't remember who it wasNo
Veterinarian Name
Vet Clinic Name*
Veterinarian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veterinarian Phone
Please enter a valid phone number.
What do you expect to spend annually on vet care?*
Daily Routine & Care
Is someone home during the day?*

YesNo
Is someone home at night?*

YesNo
How long will this dog and your current pets be home without people each day, on average?*
Where will this dog mostly be kept when people are home?*

IndoorsOutdoors
Where will this dog be kept when no one is home?*

Indoors with free run of the houseIndoors in a crate or behind a baby gateIndoors with access to a dog doorBack yardGarageBasementOther
If Other, please describe*
Where will the dog sleep at night?*
Who will care for your pets when you are out of town?*
Are you planning to crate this dog?*

YesNoNot sure
Do you have a large dog crate, at least 36" long?*

YesNoNot sure
What are your feelings about crate use?
What would you do if your adopted dog became unable to control its urine?*
How many times a day will you feed this dog?*

Once a dayTwice a dayThree times a dayI will leave food out and let the dog eat when he/she wants toOther
What kind of food will you feed this dog?*

Kibble/dry foodCanned foodLeftovers/table foodRaw meatHome cooked mealsWhatever he/she is eating in the foster homeOtherNot sure
How often will you get this dog vaccinated?*

Every 6 monthsEvery yearEvery 3 yearsSome vaccinates annually, some every 3 yearsNot sureI will not get this dog vaccinated
How often will you take this dog to the veterinarian?*
Who will be responsible for care and training of this dog?*
Has this person trained a dog in the past?*

YesNoNot sure
Please check any of the following training methods previously used*

Clicker trainingCrate trainingGroup obedience classPrivate obedience lessonsSpankingRemote collarChoke collarPinch collarShock collarMartingale collarSent dog away for trainingHead harness (liked Gentle Leader)Other
If Other, describe:
Are you planning to send this dog to any type of boarding training?*

YesNoDepends on how it goes
Please describe the training and socialization you plan to provide this dog.
Have you ever dealt with a major behavior problem?*

YesNo
Describe the behavioral problem and how you dealt with it.
Have you hired a dog trainer in the past?*

YesNo
Name of trainer, and name of training facility, if known
Will your new dog be allowed on the furniture?*

YesNoSome furniture, but not all
Other Considerations
Do you see any major lifestyle changes in the next 10 years (moving, marriage, divorce, adding children to your family, etc.)?*

YesNo
Describe the upcoming lifestyle change.
Can you provide a home for this dog for the rest of its life?*
If you are unable to keep this dog for any reason, do you understand you must return the dog to Doberman Rescue of Atlanta?*

YesNoI'd rather not
Have you ever adopted a dog from a rescue organization?*

YesNo
Which organization and when?
Your Future Doberman or Rottweiler
Are you applying to adopt a Doberman or Rottweiler?

DobermanRottweilerEitherOther
Ear preference

CroppedCropped and both ears must standNatural (not cropped)Doesn't matter
Tail Preference

DockedNatural (not docked)Doesn't matter
Approximately what age dog are you looking for?*
Why did you choose this breed?
What are your plans for this dog? Choose as many as apply.

PetGuardCompanion for other petObedienceAgilitySearch & RescueTherapy dogService dogEmotional support dogHikingJogging/RunningOtherNone
Personal References
Please list 2 personal references who are not family members. Someone who knows your history with current or previous pets is good, as are neighbors, long time friends, employers and dog trainers.
Personal Reference #1*

First NameLast Name
Personal Reference #1 Phone Number*
Please enter a valid phone number.
Personal Reference #1 - What is their relationship to you?*
Personal Reference #1 - How long have they known you?*
Personal Reference #2*

First NameLast Name
Personal Reference #2 Phone Number*
Please enter a valid phone number.
Personal Reference #2 - What is their relationship to you?*
Personal Reference #2 - How long have they known you?*
Is there anything else you would like us to know about you?
Other Terms & Conditions of this Application
By typing my signature below, I certify that all of the information I have given above is true and complete. I understand Doberman Rescue of Atlanta can reject my application if I provide any false or misleading information in order to obtain a dog.

Doberman Rescue of Atlanta reserves the right to refuse adoption of any Doberman for any reason.

I understand any dog adopted from Doberman Rescue of Atlanta will reside in my home as a pet.

I understand Doberman Rescue of Atlanta will inspect my home as part of their investigation into the suitability of the dog’s living quarters.

I must agree to provide my adopted dog with adequate food, water, shelter, training, affection and medical care, as more fully set out in the Doberman Rescue of Atlanta Adoption Contract.

Many dogs in rescue are obtained from shelters or other situations where information about their past, their medical background and their behavioral background is incomplete or not available.

I understand that Doberman Rescue of Atlanta and/or its authorized agents, officers, Board of Directors and members are not responsible for the accuracy of information received about the temperament, habits and physical condition of dogs available for adoption.

Doberman Rescue of Atlanta, its officers, Board of Directors and members, and any person associated with its adoption efforts, are in no way liable or responsible for any damage, accident or injury resulting from the placement of a dog into my household, as more fully set out in the Adoption Contract I will be required to sign as a condition of my adoption of any dog from Doberman Rescue of Atlanta.

I also understand that I will be required to sign an adoption contract to place a dog in my home. I am in full agreement with these terms of adoption. By typing my signature below I acknowledge that I have read and understand the Terms and Conditions of this Application.
Typed Signature of Applicant*
Type your name
Date

MonthDayYear
Date
Upload a photo of your fenced yard (optional)
Upload a photo of your current pets (optional)
Should be Empty:

Adoption Application

Family Information

Current Pets

Past Pets

Veterinarian Info

Daily Routine & Care

Other Considerations

Your Future Doberman or Rottweiler

Personal References

Other Terms & Conditions of this Application