Damon's Den Doberman Rescue of Western Pennsylvania

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Damon's Den Adoption Application
* Indicates required fields
Contact Information:
* Full name:
* Street address:
* City:
* State:
* Zip:
* Home phone number:
Work phone number:
Cell phone number:
* Email address:
* Why are you interested in a Doberman?
* What other breeds have you considered?
Doberman Preferences:
Please note which dog from the website, if any, that you are interested in.
* What are three characteristics that you find most appealing about the Doberman?
Active Loving Submissive
Shy Dominant Aggressive
Playful Independent Other:
Calm Intelligent
* Gender: * Color: * Age: * Ears: * Tail:
Male
Female
Doesn't Matter		 Black & Rust
Red & Rust
Blue & Rust
Fawn & Rust
Albino
Doesn't Matter		 Under 1 Year
1-3 Years
4-6 Years
Over 6 Years
Doesn't Matter		 Cropped
Uncropped
Doesn't Matter		 Docked
Natural
Doesn't Matter
* What are you looking for in a Doberman?
 Watchdog
Companion
Hunter
Obedience
Work/Competition
Other:
* Damon's Den requires that all Dobermans attend basic obedience training in order to facilitate the owner/pet bonding process (plus it's fun for you and your new Doberman!). Would a formal training program be something that you, as a new owner, would attend?
 Yes No - If no, explain:
Questions about Family Life:
* Do you: Own Rent Lease
Type of home: Townhouse/Duplex Single Family Home Apartment Mobile Home
If you checked OWN, do you personally own this home that you have listed as your address or is it owned by another person? If it is owned by another person, please provide the name of the owner, your relationship to them & how long you have lived there.
If you rent, a copy of the lease will be required before the adoption will be completed. Is this acceptable?
Yes No - Please explain:
* If you move in the future, what will you do with your pet(s)?
* Please list all animals in household: Name, Breed, Gender, Spay/Neuter, Age, Where Kept (all information must be provided!)
* Please list all other dogs owned in the past: Name, Breed, Reason no longer own (if death, please give reason and age died).
If you currently have a dog, what type of food do you feed him/her?
If you are new to dogs, have you given much thought to what expenses you will incur with having one in your life? Please provide your thoughts on what those expenses may be.
* Do you have a fenced in yard attached to your home?
 No
Yes (what type of fencing):
If you do not have fencing, how do you plan on exercising your Doberman?
* How many hours will your Doberman be alone on a typical day?
0-3 3-8 8-10 10-12 12+
* Are you willing to use a dog crate? Yes No (Explain)
* Please list everyone residing in your home including yourself (Name, Relationship and Age):
* Which member of your household is/will be primarily responsible for caring for your pet(s)?
* In the event you are away on vacation or business, who cares for your pet(s)?
* Does anyone have allergies to animals?
 No Yes (Explain):
* Do you have a veterinarian?
No Yes (please provide Name, Address & Phone):
* Please list names, telephone numbers and email address of at least two references that we may contact who are not related to you (i.e. neighbors, trainers, breeders, other rescues, etc.).
* How did you find out about Damon's Den?
 Vet (provide name under other)
Shelter (provide name under other)
Friend (provide name/number under other)
Petfinder (which dog(s) under other)
Internet (provide page under other)
Paper (which paper under other)
Other
* Would you consider volunteering for Damon's Den? Yes No
If you would consider volunteering, what area(s) would interest you?
Fostering
Transports
Telephoning
Personal interviews of adopting candidates
Contributing to / creating a newsletter
Fundraising
Computer assistance
Web assistance
Donations (cash, food, blankets, crates, etc.)
If you have also applied with another Doberman Rescue or All Breed rescue, please list the name here. We network with many groups and this will minimize the need to duplicate efforts and speed up everyone's effort at finding the perfect dog for you.
Completion of Application
* "I understand that owning a dog is a lifelong commitment and that I am willing to take on this commitment if I adopt a dog from Damon's Den. I certify that all the information I've provided in this questionnaire is accurate and true."
Applicant's Name/E-signature:
Thank you for taking the time to fill out this questionnaire. We will review it as soon as possible and you will be hearing from a representative within 7 days to schedule a home visit and to discuss the list of potential Dobermans we have available that will meet your needs. If you have any comments or concerns about adoptiong a rescue Doberman or about this program, please use this space to share them with us. We are always interested and open to your viewpoint.