Doberman Rescue of Nebraska


 

 

DOBERMAN RESCUE OF NEBRASKA

ADOPTION APPLICATION

Adoption is possible only in the DRON Adoption Area, which is Nebraska, Iowa, and South Dakota.

Before completing this form please read the "How to Adopt" page!
 

Name: Spouse:

E-mail address:

Occupation:

Address:

City: State:   Zip:

Adoption is possible only in the DRON Adoption Area; which is Nebraska, Iowa, and South Dakota.

Phone: (H) (W)

House:     Apt:      Mobile Home:      Own:      Rent:

Other Occupants:  # of Adults: # of Children: Age:

Other pets that you have now:

Pet (Name & Breed) Age

Sex

 Spayed/
Neutered		 Licensed Vaccinated Heartworm
Preventative

Yes No

Yes No Yes No Yes No

Yes No

Yes No Yes No Yes No

Yes No

Yes No Yes No Yes No

Yes No

Yes No Yes No Yes No

Yes No

Yes No Yes No Yes No

Yes No

Yes No Yes No Yes No

Dogs that you have previously owned:

Breed Sex Spayed/Neutered Years Owned

Yes No

Yes No

Yes No

Yes No

Yes No

Do you know the temperament & characteristics of the Doberman? Yes No

Why do you want a rescued Doberman?

 

Do you have?

Dog Run Dog House Dog Door Fenced Yard Type of Fence Yard Size (in feet)
Yes No Yes No Yes No Yes No

Where will the dog be kept? Day: Night:

Hours dog will be alone per day: 

0 to 4 hours

 4 to 8 hours 8 to 12 hours 12 to 16 hours 16 or more hours

Veterinarian Phone:

Regarding the dog you wish to adopt:

Are you interested in a male, female or either?

Do you have a specific color in mind? Yes No

Do you want natural or cropped ears or doesn't matter?

What age of dog are you interested in?

May a representative of DRON visit your home: Yes No

Enter today's date here , (note this will be considered your signature and indicates your understanding that the statements made on this form are accurate.   It will also indicate that you understand that DRON RESERVES THE RIGHT TO REFUSE ADOPTION FOR ANY REASON. 

Please Note:  FENCED IN YARD IS REQUIRED!

We do not place our rescue dogs in homes with very young children (under the age of 8 years). We set these limitations, not because of aggression issues with our dogs, but because Dobermans are generally large, active dogs and can easily knock down, run over or easily trip a small child, causing a serious fall. Also, we reserve the right to refuse adoption for any reason.

Please note you may also enter the information, print the form and mail to the address listed on the contact page.  If you prefer to mail the adoption form in please sign below after printing.

Doberman Rescue of Nebraska is a Not-For-Profit Organization

Adoption is possible only in the DRON Adoption Area;
which is Nebraska, Iowa, and South Dakota.
 

For use by DRON Only

House check by: Date:

Dog Adopted: DRON #: Approved by: Date

Follow up check by:

 

  

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DOBERMAN RESCUE OF NEBRASKA
POB 390684
OMAHA NE  68139-0684
402-614-4495