Gulf Coast Doberman Rescue Adoption Application
ALL applicable fields must be completed for your application to be processed! If any are left blank, it will only delay the application process.
Email address *
First & Last Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone *
Your answer
Home Phone
Your answer
Other Phone
Your answer
Name of Veterinary Clinic *
Your answer
Veterinarian Phone Number *
Your answer
What is the name on your Veterinary Record? *
Your answer
Do we have permission to contact your vet? *
Do you OWN or RENT your home? *
What type of home do you live in? *
If renting, do you have your landlord's permission to have a dog?
What is your Landlord's name and phone number? (MUST PROVIDE IF RENTING)
Your answer
Do you have a fenced yard? *
How high is your fence?
What material is the fence made of?
Your answer
If you do not have a fenced in yard, what arrangements will you make to attend to the dogs exercise and toilet needs?
Your answer
How many hours per day will the dog be left alone (without a human)? *
Your answer
Where will the dog stay during the day? *
Your answer
Where will the dog sleep at night? *
Your answer
Please tell us about the dogs you have had in the past 10 years (gender, breed, age, spayed/neutered). Do you still own these dogs? If not, what happened to them?
Your answer
Do you have any other pets other than dogs? (cats, birds, reptiles, livestock, etc) If so, what type?
Your answer
Do you have any children? If so, please tell us how many and their ages.
Your answer
Will any children be visiting this dog? *
Please tell us about the Doberman you would like to adopt: *
Required
Color Preference *
Required
Ears *
Tail *
Are there any dogs on our site you are particularly interested in? *
Your answer
Please describe your "ideal" dog: *
Your answer
How did you hear about us?
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