Adoption Application

Owner Surrender


The purpose of this questionnaire is to supply current information about the Doberman for which you want help rehoming. It will provide the basis on which we refer potential adopters. The more complete information that you provide, the better chance your Doberman has for finding a new adopter.

If you experience any difficulties with this form (or if you are not using a forms-capable browser), you may email your responses to: denise@dobedepot.com.

First Name (required)
Last Name
Address
City
Home phone
Work phone
E-mail Address
Name of Doberman
Birthdate or Age
Sex 
Male  Female
Purebred? 
Yes  No
AKC papers available? 
Yes  No
Have you contacted your dog's breeder to see if he will take your dog back?  
Yes  No
Color
Ears 
Cropped  Natural
Do they stand? 
Yes  No
Tail 
Docked  Natural 
Dewclaws removed? 
Yes  No
Weight or size
Date of spay/neuter
Date of last exam
Date of most recent DHLPP
Date of most recent Rabies
Is your dog on Heartworm preventative? What brand?
What food are you feeding? How much?
Has your dog had any other surgeries other than spay/neuter?
If so, what/why?
Why can you no longer keep your Dobe?
Where does your Dobe spend his daytime hours?
Is he/she alone during the day?
Can your dog stay alone indoors when no one is home?
Where does he/she sleep at night?
Does your Dobe share space with another dog?
If so, what size dog? What gender?
Does your dog live with cats? Horses/livestock?
Have you ever taken your dog to obedience training classes?
What commands does he/she know well?
What behavior do you think needs improvement?
Describe the home that you think would be ideal for your dog
Has you dog lived with children? What ages?
Describe how your dog behaves when someone comes to your front door
Has your dog ever nipped or bitten anyone? Does your dog play roughly with its teeth?
How high is the fencing around your yard?
Has your dog ever jumped your fence or escape from your yard?
Has your dog ever been a barking problem?
Has your dog ever been a digging problem?
Has your dog ever been a chewing problem?
Do you take your dog in your vehicle? If so, what type of vehicle?
Can you leave your dog alone in your vehicle without him being destructive?
Is he agressive to people passing by (as shown by barking, growling, lunging)
Please explain any behavior problems that your dog has.
How long long do you have to find a new home for your dog?
Do you have some good clear pictures of your dog that you could send us either by email or regular mail?
Provide any additional information that would help us in placing your dog.


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Revised: 5/14/2007 6:41:27 PM