Adopt/Foster Application Form Adopt/Foster Application What are you interested in applying for?* Adopting Fostering Name* First Last Email* Spouse/Partner's Name :* First Last Home Address:* Street Address City State / Province / Region ZIP / Postal Code How long have you lived at this address?*Do you expect to move in the near future?*Home No.:Mobile No.:*Best Time to Call:Occupation:How long have you worked at your present job?Spouse/Partner's Occupation:How long has your spouse worked at his/her present job?Age, Sex, and Relationship of ALL Household Members, including yourself:*Do you have children visiting regularly? If so, list ages.*Who will primarily be responsible for this dog?Is this dog to be a gift?*YesNoAre all household members aware of your decision to acquire a Doberman?*YesNoWhat would you consider your household:ActiveSedentaryHow did you find out about our rescue program?*Family/FriendFacebookTwitterSearch EngineEvent/Pet FairHave you applied to any other rescue group? If yes, which ones?Veterinarian Office Name:*Veterinarian Office Phone Number (Please notify vet with your permission to release information):*Veterinarian Office Address:* Street Address City State / Province / Region ZIP / Postal Code List other veterinarians that you have used. Include the address, phone number, pet's name, and how long ago.Please give us the names and phone numbers of at least two references that we may contact (neighbors, trainers, breeders, etc. No family members, please.)*Please describe the last dog you owned, how long ago, and what happened to it.*Have you ever owned a Doberman before?YesNoIf yes, tell us a little about the one you had or have.Why did you decide to adopt a rescue dog?List all types, breeds, ages, and sexes of ALL animals currently in the household (indicate if spayed or neutered). Also, tell us how long you have owned each animal and where the animal is kept.*Are they current on heartworm preventative? If so, which one?*Have you ever given away, sold, or surrendered a pet before? If yes, give details.What personality/behavior traits are you looking for in a Doberman?Sex Preference:FemaleMaleNo PreferenceColor Preference:BlackRedBlueFawnNo PreferenceAge Preference:Would you be willing to adopt a dog with uncropped ears?NoMaybe for the right dogYesWould you be willing to adopt a dog with an undocked tail?NoMaybe for the right dogYesDo you want a dog right away or are you willing to wait for the "right dog" for you and your lifestyle?Yes, we are willing to waitNo, we would like a dog immediatelyAre you interested in a specific adoptable dog?List your plans and goals for this dog (pet/companion, protection, obedience work, agility, etc.).How many hours would your Doberman be alone each day?Will the dog primarily be indoors or outdoors during the day as well as at night. Please explain.Do you intend to enroll your new dog in an obedience course? If no, please explain.Have you ever used a dog crate before? If yes, why?Do you plan to crate-train this dog?YesMaybeNoWhat is your method of disciplining a dog?Is the dog to be fenced in, tied out, or let loose?*Do you have a secure fenced yard or area for the dog?*YesNoPlease list the fence material, height, condition, relative yard size:*Is there a door that directly leads from your home into the fenced area?*YesNoAre there locks on the gates?*YesNoDo you have a pool? If yes, is it fenced separately?Do you have a balcony or deck? If yes, how is it secured so as the dog cannot fall over?If you do not have a fence, what arrangements will you have for the dog’s exercise & elimination requirements?When walking my dog, I use a leash:*NeverSometimesAlwaysIf planning on leash-walking, how many times per day?If you do not have a fenced area, would you be willing to install one?YesMaybeNoWhat type/brand of dog food do you use?How many times per day do you feed?Please describe your neighborhood:*CitySuburbanRuralPlease describe your home:*Single Family HomeApartmentCondoMobile HomeDo you own or rent your home? (If you rent, a copy of the lease will be requested as well as your property management's name & phone number before the adoption can be finalized. If you own/rent a condo, please provide contact information for the condo association.)*Would you be willing to let a representative of BDR visit your home?*YesNoAre you agreeable to returning the dog to BDR should some unforeseen circumstance arise where in you would no longer be able to keep or care for the dog?*YesNoPlease give directions to your home. Use a major road/highway as a starting point.
