Rescue Dog Adoption Application

DoberMANOR Doberman Rescue is dedicated to the rescue and placement of Dobermans needing a second chance. 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, spaying/neutering and microchipping prior to their adoption. We graciously accept gently used dog items, food, and finanicial donations.

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

Have you owned a Doberman Pinscher before?*

YesNo

If no, what experience or exposure have you had with a Doberman? What interests you in the breed?*

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

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