DPR of PA
ADOPTION & FOSTER CARE APPLICATION
Note: Adoption fee, paid at time of adoption, varies by dog.
This application is for
Adoption
Foster
Both
Applicant's Name(s)
Street Address:
City
State
Zip
Home Telephone
Work Telephone
Cell Phone
Email
Employer 1:
Occupation:
Employer 2:
Occupation:
Have you spoken to anyone from DPRPA? If so, please tell us who:
DOG SELECTION
Have you ever owned a Dobe?
Select one
Yes
No
If yes, how long ago?
Why do you want a Doberman?
Tell us your preferences (adoption applicants only).
Sex::
Select one
Male
Female
Doesn't matter
Ears:
Select one
Cropped
Natural
Doesn't matter
Age:
Select one
Baby (less than 9 months)
Young (approx 1-2 years)
Adult (approx 3-8 years)
Senior
Doesn't matter
Color:
Select one
Black and rust
Red and rust
Blue and rust
Fawn and rust
Doesn't matter
Function (select all that apply):
Watch dog
Companion
Obedience Dog
Other:
Temperament:
Active
Calm
Shy
Intelligent
Playful
Protective
Loving
Independent
If you are interested in a specific dog currently available for adoption, please tell us which one:
DOG CARE
How many hours a day will the dog be left alone?
hours
Where will the dog be kept during the day and night?
How will your exercise your dog?
Have you trained a dog in obedience?
Select one
Yes
No
If yes, to what level?
If you adopt from DPR will you train through beginnners' obedience?
Select one
Yes
No
If not, how will you train?
What do you consider quality time with your dog?
Have you ever used a dog crate?
Yes, frequently
Occasionally
Never
What brand of food do you feed your dogs?
Do you use flea and tick preventative?
Select one
Yes
No
If yes, what brand?
Please list the specific Doberman health issues you're aware of (We will educate you if needed. Visit our health and behavior tips page .)
Who is your veterinarian? Name:
Address:
Phone:
Please authorize your veterinarian to release information to DPR of PA when we call. Otherwise we may not be able to to process your application.
Check here to confirm your have done this or will before we contact him/her.
HOUSING
Do you rent or own?
Select one
Rent
Own
Select type:
Select one
House
Condo
Townhouse
Trailer
Apartment
If you rent, please include your landlord's name
Telephone
Address:
How long have you lived in current address?
Do you plan to move within the next 6 months?
Select one
Yes
No
Maybe
Do you have a yard?
Select one
Yes
No
Size?
Enclosed fence?
Select one
Yes
No
If yes, type/height of fence:
Please list the names and ages of all who live in your household?
Who will the be the primary caretaker?
Does anyone have allergies?
What pets do you currently have in your household? Please include name, breed or species, age, sex, neutered?, kept where?, owned how long?
List people and animals that visit you on a regular basis (i.e., grandchildren, mother with a walker, babies, etc.)
How do these pets relate to other animals in general?
What other dogs have you owned in the past ? Why are these dogs no longer with you? If the reason is death, please list the dog's age at death and the cause.
List the names and telephone numbers of at least three references that we may contact. These may include neighbors, breeders, trainers, etc.
Reference 1:
Reference 2:
Reference 3:
Additional reference(s):
Please list any additional comments or questions you may have:
How did you hear about DPRPA of PA, Inc.?
I UNDERSTAND THAT OWNING A DOG IS A COMMITMENT FOR THE DOG'S LIFETIME AND IF I ADOPT A DOG FROM DOBERMAN PINSCHER RESCUE OF PA, INC. I AM WILLING TO MAKE SUCH A COMMITMENT.
I agree.
I certify that all information in this application is accurate and true.
I agree.
Please ensure all information is completed before sending form.
Check to
acknowledge that you understand that incomplete or missing information may delay the processing of
your application.
Can we add your name to our email list?
Yes
No