Doberman PinscherAlliance of America Rescue Adopter Application
| Application also requires written Veterinarian reference |
Name ________________________________________________________________________
Address ______________________________________________________________________
City__________________________________________State ___________Zip ______________
Home Phone ___________________________Work Phone _____________________________
Email address _________________________________________________________________
Reason for wanting a dog _________________________________________________________
______________________________________________________________________________
Male or Female wanted? _____________ Why ________________________________________
Owned Doberman Pinscher before?______________ Still own? __________________________
Current Pets ___________________________________________________________________
How far will you travel to get your dog ________________________________________________
Time limit in the search __________________________________________________________
Family member and ages _________________________________________________________
______________________________________________________________________________
Someone home during the day? ____________________________________________________
How much time would dog be left alone? _____________________________________________
If no one home, will someone take time off when the dog first comes? _______________________
Where will dog live? _________________________Sleep? ______________________________
Have you a yard? ______size __________fence ______type _________ height_______________
If not, willing to install actual or electronic invisible fencing ________________________________
Current or prior veterinarian for reference _____________________________________________
Address ______________________________________Telephone ________________________
Will you deal with health issues, should the dog need special care in later life? ________________
What would you consider the limitations to be? _________________________________________
______________________________________________________________________________
Do you intend to be a single or multiple dog family? ______________________________________
Signature _______________________________________Date ___________________________
| Mail form to: DPAA Treasurer 16741 ST Rd 148 Aurora, IN 47001 |