Doberman Adoption Application

First and Last Name: Address: City: Home Phone: Work Phone: Cell Phone: E-Mail Address: How did you hear about Dogworks? Tell us about the type of Doberman you are looking for: Gender: Male Female No Preference Color preference: No Preference Black and Tan Red / Rust Blue Fawn Ears Cropped Natural No preference : Tail Docked Natural No preference : Age range: 0-12 months Under two years Adult Senior 7 years 1. Why do you want a Doberman? 2.Have you ever owned a Doberman? 3. If - YES - what happened to him/her? 4. Who is the Doberman for? 5. If Single what is your age 6. Do you Live alone with family with roomates 7. If married, do you both work? yes no 8. What are your working hours? 9. Who else lives in your home? 10. Ages of children? 11. If you have children are you prepared to teach them how to interact with the dog? 12. Do you understand that the dog might not like all of your children's friends? yes no 13. Who will be responsible for the dog? 14. Where will the dog sleep? 15. Do you.. Own your home Rent If you rent please provide your landlord's name and phone: 16. Do you have?.. Regular yard Acerage 17. Do you intend to keep this dog primarily indoors or out? 18. Is your yard fenced? yes no If yes, describe the type, height and condition. 19. Do you have other pets? yes no If yes what kind and how many? 20. If you have other dogs, would you consider them agressive to: other dogs people 21.If you have birds, rabbits, sheep, etc are they protected from the dog? yes no 22. Does everyone in your family want a dog? yes no 23. What other breeds have you considered? 24. Can others gain access to your property without your supervision? yes no 25. Do you realize a dog may live 12 -14 years and are you commited to its care during its life? yes no 26. Are you likely to take an obedience course with your new dog? yes no 27. What kind of work or behaviors do you expect of this dog? 28. What will you do if your dog makes a mistake? 29. Do you have time to make the acquisition of this dog successful by learning about the breed, temperament, socialization, training: and do you understand the time required to bring out the full potential of this breed? yes no 30. Would you allow a home visit? yes no Are you looking for a dog?... immediately in the next 6 months Other comments for Dogworks Doberman Rescue

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