First and Last Name

Street Address

City

State Zip

Home Phone

Cell Phone

Work Phone Ext.

Occupation

Driver's License Number

Email Address

Do you have any children?
Yes
No

If you have children, how many do you have, and what are their ages?


Will any children be visiting this dog?
Yes
No

How many adults are currently living in your home?

Who will be responsible for the care and feeding of the dog?

What kind of dwelling do you live in?
Apartment
House
Mobile home
Condo

Do you own or rent your home?
Own
Rent

If you rent, do you have permission from your landlord to keep a Dobe?
Yes
No

Landlord's name

Landlord's Address

Landlord's Phone

Do you have a fenced yard?
Yes
No

Please describe your kind of fence, including height


If you don't have a fenced yard, what arrangements will you make to
exercise and toilet your dog?

Is someone home during the day?
Yes
No

Where will the dog sleep at night?

Where will the dog stay during the day?

What dogs have you had in the past 3 years?
Breed, age, gender, neutered/spayed?
Do you still own these dogs? If not, what happened to them?

If you currently own any dogs, are they on heartworm preventative?
Yes
No

Do you have any other animals at this time?
Yes
No

If you have other animals, please describe:

Veterinarian

Veterinarian's Phone Number

Veterinarian's address

May we contact your vet?
Yes
No

Please give two references - people that are familiar with your
relationships with your past and present animals:

1) Name
Phone Number(s)

2) Name
Phone Number(s)

Please tell us about the Doberman you would like to adopt:

Do you want an inside dog or an outside dog?
Inside
Outside

Gender?
Male
Female
Not important

Color?
Black
Red
Blue
Fawn
Albino
Not important

Age?
Puppy
Young
Adult
Senior
Not important

Size?
Small
Standard size
Large
Not important

Ears?
Natural
Cropped
Perfect crop
Not important


Is there a certain dog that you are interested in?

Have you owned a Doberman before?
Yes
No

Do you plan to attend obedience classes with your Doberman?
Yes
No

What interests you about owning a Doberman? Why a Dobe??

Comments:

Thank you for filling out our PAWS Online Adoption Application.
We will be in touch with you!

PAWS Dobe online adoption application.