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Adoption Form loading form

Please fill out the Doberman Adoption Form below.
We attempt to place each Doberman into the most well suited home based on the individual dog.

* = Required Field

  Your Information
Name: *
Date: *
Address: *
City, State: *
Home Phone: *
Best time to call: *
email Address: *
confirm email Address: *
Occupation: *
Employer: *
Work Phone: *
Which Doberman are you interested in?
  Household Information
Name of Spouse/Significant other:
Occupation of Spouse/Significant other:
Employer of Spouse/Significant other:
Will any children be living with the dog? Yes --- No *
Please list their names and ages:
Are there any other household members other than spouse/significant other and children? Yes --- No *
If so, please list them here and their relationship to you:
If there are no children in the household, will any children be visiting regularly?  If so, what are their ages? Yes --- No *
Does anyone in the household have pet allergies? Yes --- No *

Do you own or rent your home?

 Rent --- Own *
If your rent, does your landlord know you are considering adopting a Doberman? Yes --- No
Landlord’s Name:
Landlord’s Phone Number:
  Care for the Doberman

Do you have a fenced yard?

 Yes --- No *
If you do not have a fenced yard, how will you keep your dog from wandering off of your property?

Is someone home during the day?

 Yes --- No *

If not, how long would the dog be at home alone in a 24 hour period?
Where will the dog be kept while you are away?
Are you familiar with crate training? Yes --- No *
If you are familiar with crate training, what are your thoughts on it?

Do you realize you may have to house train this dog?

 Yes --- No *

Are you familiar with local leash/licensing laws in your area?

 Yes --- No *
Are you willing to take your new dog to training classes? Yes --- No *
What will you do if your Doberman shows destructive behavior such as chewing, etc.?
"What will you do with your adopted doberman if you decide to or have to move"?

Are you financially prepared to give this dog routine and emergency medical care?

 Yes --- No *

Please list any other species of animals you currently own or
have owned in the past: ( Please begin with your current animals )
   
  Animal 1
Name:
Species:
Gender:
Breed:
Is this animal spayed or neutered? Yes --- No
Current on vaccines? Yes --- No
Age:
Do you still have this animal? Yes --- No
If not, explain what happened to him/her:

  Animal 2
Name:
Species:
Gender:
Breed:
Is this animal spayed or neutered? Yes --- No
Current on vaccines? Yes --- No
Age:
Do you still have this animal? Yes --- No
If not, explain what happened to him/her:

  Animal 3
Name:
Species:
Gender:
Breed:
Is this animal spayed or neutered? Yes --- No
Current on vaccines? Yes --- No
Age:
Do you still have this animal? Yes --- No
If not, explain what happened to him/her:

Have you contacted any other rescues/shelters about adopting a dog?
Yes --- No *  
If so, which ones and who did you speak with at each organization?

It is our policy to do a home visit/inspection prior to all adoptions.
Would you have and objection to this?
Yes --- No *  

It is also out policy to keep in contact with all adoptive homes post-adoption.  We require updates on the rescue dog’s progress.  We may either do this by phone, email or actual visit. 
Would you have an objection to this?
Yes --- No *  
Is there anything else you would like to tell us, ask us or explain to us?
How did you find out about us?
*ATTENTION ALL APPLICANTS: Please understand that sometimes we get more than one application on a particular dog. We try to match the dog and owner the best that we can. There are many things that factor into where we place a rescue dog. Sometimes this is so hard to decide when we have several applications for one dog that sound like they would be the best home for him or her. In this case we go by a first come first serve basis. If the dog you were interested in was adopted to another family please do not take it personal and please be patient and continue to look at our site. We will keep your application on file and we will find you the dog you are looking for. We have dogs coming to our rescue all the time! Thank you for your patience and understanding! Sincerely, DRI

I have read the above (Attention All Applicants) and certify all of my answers on the entire form are correct.
Yes --- No *

Please list three references.  Do not use a relative or anyone living in your household.  Please use neighbors, friends, co-workers, etc.  Contact your references and inform them that they will be receiving a phone call from us and give them your permission to speak freely about you with us.  All information will be kept strictly confidential and will not be revealed to anyone outside of our organization.
  Reference 1
Name:
Phone Number:
Relationship to you:
How long have you known this person?

  Reference 2
Name:
Phone Number:
Relationship to you:
How long have you known this person?

  Reference 3
Name:
Phone Number:
Relationship to you:
How long have you known this person?

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