Rescue Dog Adoption Application

DoberMANOR is an all-volunteer, non-profit, animal welfare organization dedicated to the rescue and placement of stray, neglected and abused animals. DoberMANOR Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes and receive complete medical care, which includes worming, vaccinations, spaying/neutering and microchipping prior to their adoption.

Name of the dog you are interested in:*

Your full name:*

Additional household names:*

Street Address:*

City, Prov, Postal Code*

Home Phone:

Area CodePhone Number

Cell Phone:

Area CodePhone Number

E-mail:

Employer:

Length at current Employer:

Character reference and phone number:

Are all members of your household in agreement with this adoption?*

YesNoDon't Know

Who will be the pet's primary caregiver?*

Do you live in a*

Do you own or rent?*

OwnRent

If rent, provide name and phone number of landlord:

Does your landlord allow dogs?

YesNo

Are there any restrictions from your landlord or subdivision?*

Number of petsSize or weight restrictionsBreed restrictionsNone

Do you have a fully fenced yard?*

YesNo

Height and type of fence

Do you have any of the following?

Underground fenceKennelDog Run

How many adults are in your househd?*

How many children are in your household?*

If children, what are their ages?

Have your children been around animals before?

YesNo

Does anyone in your home have allergies to dogs or have asthma?*

YesNo

List any pets you own or have owned in the past five years, and their ages

How many of these pets are spayed/neutered?

Where are these animals now?

Have you adopted from an animal welfare group before?*

YesNo

If yes, what group?

Are your current pets seen by a vet on a regular basis?*

YesNoOther

Do your current pets have any health problems*

YesNo

If yes, Please explain

How many total years of animal ownership have you had, excluding childhood pets?*

Have you ever given up a pet?*

YesNo

If yes, what were the circumstances?

Please provide the name and phone number of your current and/or previous veterinarian or clinic:

May we contact them regarding the care that was provided for your pets?*

YesNo

What type of personality do you want your pet to have? (i.e. calm, energetic, protective, couch-potato)*

Are you aware of crate training?*

YesNo

Have you ever house-broken a dog or puppy before?*

YesNo

If the dog has an "accident" in your home, what type of correction do you plan to use?*

How many hours each day will your new pet be home alone?*

Where will your new pet sleep at night?*

How will you supervise the dog's outdoor activity?*

Where will your new dog stay when nobody is home?*

What length of time will you allow your new pet to adjust to his new home?*

Estimated cost per year for your new pet?*

Food

Boarding

Vet Care

Toys, Treats, Misc.

Are you willing to work through your new pet's issues, if any?*

YesNo

Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?*

YesNo

Do you plan to take an obedience class with your dog?*

YesNoNot sure

If yes, where and name of trainer?

What circumstances would lead you to give up your new dog?*

If you had to give up your dog, what would you do with him/her?*

How will you exercise your dog? Please give details.*

If you arrived home and your dog peed in the house while you were out, how would you handle it?*

If you are walking your dog and s/he begins to bark/lunge at another dog, how would you handle it?*

If you tried to take a toy or food away from the dog and it growled, how would you handle it?*

Who will care for your animal while you are on vacation?.*

If application is approved, when would you be ready to take your new pet home?*

Any additional comments you would like to add?*

Thank you for taking the time to complete this adoption application. A representative will reach out to successful applications.

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information