First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

County*

Email*

Home Phone

Work Phone
x

Cell Phone*

Alt Email

Best number to be reached at*
Choose one: Cell Home Work

Best time to call*

Place of employment*

Years at current employment*

Spouse/Significant Other

Spouse/Significant Other's current employment:

Spouse/Significant Other's length of employment

Do you consent to a home visit?*
Choose one: Yes No

Household Activity level*
Choose one: Active Sedentary Social

List the NAMES and AGES along with relationships of members of the household, including yourself.*

Do small children visit frequently?*
Choose one: Yes No

Does anyone in your household have an allergy to animals?*
Choose one: Yes No

Is this dog a gift?*
Choose one: Yes No

Do you plan on moving in the near future?*
Choose one: Yes No

How long have you lived at this address?*

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

What type of neighborhood do you reside in?*
Choose one: Urban Suburban Rural

Do you own or rent your home? Please Note: You must be the owner of the home or listed as a resident on the lease. If you rent or are part of an HOA please email adoptapp@dudobes.org with proof of breed acceptance. *
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number

Do you have a fenced yard?*
Choose one: Yes No

What type of fence*
Choose one: Chain Link Invisible NA Picket Privacy

What is the height of the fence?*

Approximate yard size*

If you do not have a fence, how do you intend to exercise and allow your dog to relieve itself?*

My level of experience with dogs is*
Choose one: Beginner Intermediate Advanced

Have you applied to another rescue? Please provide the name of the rescue.*

Please list previous pets and their breeds.*

Please list current pets, ages, breeds, if they are spayed/neutered. *

Have you ever given away, sold, or surrendered a pet previously? If yes, give details*

If you do not currently have a dog now, when did you last have a dog? Provide year.*

Doberman Underground rarely adopts out to homes that do not show a consistent history of heartworm preventative. If there is a definite contraindication to use this will be allowed for. Please explain if such a condition exists.*

Please provide heartworm brand used and place of purchase. If you do not purchase from your vet then you may be asked to provide proof of purchase.*

Veterinarian Info - Name Vet records are under, Vet's name, Vet's phone and Vet's address.*

We require that you enroll your adopted dog in training classes with a professional trainer within 2 months of adoption. Please provide the name of the trainer/facility you plan to use (cannot be yourself)**

Do you plan on using a crate?*
Choose one: Yes No

Where will your dog sleep?*

Will the animal be kept primarily inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

How many hours per day will your dog be alone? *

How will you deal with house training accidents? *

Do you understand that it may take several weeks for a new dog to adjust to a new environment? *
Choose one: Yes No

How do you plan to deal with unwanted behaviors? *

What is your plan to introduce the new dog to the household? *

What is it about Dobermans that have generated your interest in the breed?*

Would you be interested in a mixed breed?

What traits and characteristics are important to you in your dog?*

Are you interested in a particular dog?
Choose an animal: Cairo Charleston Flip Joe Bob Kordell Rachel

Age preference

Sex*
Choose one: Female Male No Preference

Color preference?

Ear preference*
Choose one: Cropped Natural No Preference

Tail preference*
Choose one: Docked Natural No Preference

Who will care for the dog in the event of an emergency, vacation, weekend getaway? Please provide name and phone number of emergency contact. *

Name, phone number, email address of reference (not living in your home)#1: *

Name, phone number, email address of reference (not living in your home)#2: *

Name, phone number, email address of reference (not living in your home) #3: *

Where did you hear about Doberman Underground?*
Choose one: Adopt-A-Pet DU Volunteer Event Facebook Friend Google Search Instagram Meet & Greet Other Other Rescue Other online site Pet Finder Previous Adopter Twitter

Please provide name of person, rescue, vet or event referred by.*