Today's Date:
(mm-dd-yy)
Occupation (for both):
Home Phone:
Alternate Phone:
Email Address:
Re-enter Email Address:
Number of children living in household?
Names and ages of children:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Name:
Age:
Will this adopted Doberman have direct contact with new infants or toddlers
in the foreseeable future?
If yes, please explain:
Yes
No
Do you provide in-home
day care for children?
Yes
No
Residence Information
How long have you lived at your current address?
Do you plan to change residences within the next year?
If Yes, please explain:
Yes
No
Please check that which describes your residence:
single family home
townhouse
mobile home
farm
apartment
Other
Please Explain:
Do you own or rent?
Own
Rent
If you rent, do you have permission to bring an adopted Doberman onto the rental property to live?
Yes
No
Please provide Landlord's name and phone #:
Do you have a fenced area that fully encloses part of your property?
Yes
No
What type of fence? (invisible fencing, chain link, privacy, etc.)
What are the approximate dimensions of your fenced area?
If no fence, please describe in detail how
you will exercise and take care of your Doberman's bathroom needs:
What is your community's limit on the number of pets you may have in your home?
Are you willing to have a DRM volunteer visit you and your home prior
to and after placement?
Yes
No
Many insurance companies will not insure
homes with Dobermans. Have you checked with your homeowner's insurance
company to verify that your insurance will allow you to have a Doberman
living in your home?
Yes
No
Training
We strongly recommend that all dogs and adopters take obedience classes.
Have you taken dogs to obedience classes before?
Please tell us, when and where?
Yes
No
If so recommended, are you willing to take your new Doberman
to obedience classes?
Yes
No
Family Work/Activity Information
Will this Doberman live primarily outdoors or indoors?
Please describe:
Outdoors
Indoors
Where will the dog be kept when alone during:
Daytime:
Evening:
Overnight:
When you travel away from this dog, will you
board it in a kennel, leave it with friends, or have a house sitter?
Pet History
If you currently own other dogs, please complete the following items for each one.
If you currently own any other pets or livestock, please
describe them:
Have you owned dogs in the past?
If so, please tell us what happened to them and at what age(e.g.,died,
euthanized, surrendered to a shelter, lost/stolen):
Yes
No
What You Seek in an Adopted
Doberman
How did you learn about Doberman Rescue Minnesota?
Please tell us why you want to adopt a rescued Doberman:
Have you ever owned a Doberman before?
Yes
No
Please tell us the names of other rescue organizations you have contacted recently about adopting a Doberman:
Please describe your ideal Doberman (color, sex, appearance
and temperament):
Age ranges willing to consider for adoption?
Are you willing to be flexible in your preferences?
Yes
No
Please explain:
Are you aware of the temperament, intelligence level and challenges involved with owning and handling a working dog such as a Doberman? Please tell us (very briefly) the basic things you are aware of:
If recommended, would you be willing to use a crate for
this dog when someone couldn't be home to watch him or her?
Yes
No
How soon do you want to adopt a Doberman?
Are you willing to feed a premium dog food,
take your new dog to the vet for annual exams and give him or
her a monthly heartworm preventative?
Yes
No
References
Veterinarian name and phone #:
Name and phone # of a reference that is not a family member:
Do you wish to offer any other information
that you feel will help us to identify a good adoption match for you?
By submitting this application, I/we are
verifying that I/we:
Read and understand the Adoption Requirements.
Am/are at least 21 years of age
Are giving Doberman Rescue Minnesota permission to contact permission to contact the references list
And that alll of the
information provided in this adoption application is truthful and complete
to the best of my/our knowledge.
Incomplete applications will be returned.
Your information will be kept confidential.
We do our best to respond to all applicants within 72 hours, but it may take longer if your application is received on a weekend or over a holiday. Our volunteers appreciate your patience.