North Coast Doberman Rescue Adoption Application
Date of Birth
Home Phone Number
Work Phone Number
Cell Phone Number
PLACE OF EMPLOYMENT/OCCUPATION/YEARS EMPLOYED
Why are you interested in a Doberman?
What other breeds have you considered?
What dogs from Northcoast Doberman Rescue are you interested in?
What traits do yo
find most appealing about the Doberman breed?
Black & Rust
Red & Rust
Blue & Rust
Fawn & Rust
Under 1 Year
Over 6 Years
What are you looking for in a Doberman
Questions About Your Living Environment
Do you :
How long have you lived at present address?
Type of home
Single Family Home
If you checked OWN, do you personally own this home that you have listed as your address
or is it owned by another person? If it is owned by another person, please provide the name
of the owner, your relationship to them & how long you have lived there.
you rent, a copy of the lease will be required before the adoption will be completed.
Is this acceptable?
No, Please explain
If you move in the future, what will you do with your pet(s)?
Please list all animals in household: Name, Breed, Gender, Spayed/Neutered, Age,
Where pets sleep/stay when you are gone daily and on trips?
(all information must be provided!)
Please list all other pets owned in the past: Name, Breed, Reason no longer have pet(s)
(if deceased, please give reason and age of dog at time of death)
YOU MUST PUT IN ALL INFORMATION
NAME: AGE: BREED: REASON NO LONGER HAVE: VET NAME PH#
If you currently own a dog, what brand of food do you feed them?
If you are new to dogs, have you given much thought to what expenses you will
incur with having one in your life? Please provide your thoughts on what those
expenses may be and how much you think you will spend on a yearly basis to
properly care for your pet(s).
Do you have a fenced yard attached to your house?
If you do have a fence, what kind of fence do you have(type, height, padlocked)? If you do not, how do you plan on exercising your Doberman?
How many hours will your Doberman be left alone on a typical day?
Are you willing to crate your Doberman?
No, Please explain
Where will the Doberman sleep at night?
Where will your Doberman stay while your are gone? Please explain.
Are your current dogs on heartworn preventative?
Yes, what kind?
Please list the full names, dates of birth and relationship of everyone living
in your home at this time.
Which member of your household is/will be primarily responsible for caring for your pet(s)?
In the event you are away on vacation or business, who will care for your pet(s)?
Do you or anyone in the household have allergies to animals?
Yes, please explain
Do you currently have a veterinarian?
Yes, please provide vet name and phone#
Please list names, telephone numbers and email address of at least two references
that we may contact who are
related to you.
(i.e. neighbors, trainers, breeders, other rescues, etc..)
If you have also applied with another Doberman Rescue or All Breed rescue, please
list the name here. We network with many groups and this will minimize the need to
duplicate efforts and speed up everyone's effort at finding the perfect dog for you.
How did you hear about us?
"I understand that owning a dog is a lifelong commitment and that I am willing to take on this commitment if I adopt a Doberman from North Coast Doberman Rescue . I certify that all the information provided in this application is accurate and true."
Thank you for taking the time to fill out this application. We will review it as soon as possible and you will be hearing from a representative within 7 days to schedule a home visit and to discuss the list of potential Dobermans we have available that will meet your needs. By submitting this application it in no way guarantees you will be approved to adopt a dog from North Coast Doberman Rescue. North Coast Doberman Rescue has the right to deny any application submitted to North Coast Doberman Rescue if they feel that the applicant will not provide an acceptable home to one of our dogs.
THANK YOU FOR CHOOSING TO RESCUE A HOMELESS DOBERMAN!!!!
ONLY CLICK THE SUBMIT BUTTON ONCE!!!!
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