ADOPTION APPLICATION



Please be aware that due to the recent influx of dogs and applications it may take us up to two weeks to respond to you.
Your patience is appreciated. We are all volunteers with full time jobs, children and multiple dogs in our care.
Our adoption area includes the states of Louisiana & Mississippi, southern Alabama and the Florida panhandle.
If you are outside of this area but feel you have extenuating circumstances or good reason to seek adoption
out of your own area, please send a private email to GCDR@bellsouth.net so that we may discuss your situation.
or help direct you to a Doberman Pinscher rescue near you.

PLEASE NOTE:

If you have not provided all the information requested on our application, it may result in a delay in our responding as we will
first respond to those who have provided complete information.

Thank You.



Name:

Address:

City, State, Zip:

Home Phone: Work Phone:

E-mail address:

Veterinarian Name & Phone Number:

Please list the vet that has your current and previous dog's records. If you do not have a current vet please list your previous vet. Thank You

Do we have permission to contact your vet? Yes No

Do you own or rent your home? Own Rent

Do you have your landlord's permission to have a dog? Yes No

Landlord's Name & Phone Number:

Do you have a fenced Yard? Yes No

How high is your fence? 4 feet 5 feet 6 feet

What materials are the fence made of?

If you do not have a fence, what arrangements will you make to attend to the dogs exercise and toilet needs?

Is someone home during the day? Yes No

Where will the dog stay during the day?

Where will the dog sleep at night?

Please tell us about the dogs you have had in the past 5 years (gender, breed, age, spayed/neutered). Do you still own these dogs? If not, what happened to them?

Do you have any other pets? (Cats, Birds, Reptiles, Livestock, etc.)

Do you have any children? If so, please tell us how many and their ages.

Will any children be visiting this dog? Yes No

PLEASE TELL US ABOUT THE DOBERMAN YOU WOULD LIKE TO ADOPT

Male Female No Preference

AGE: Puppy (under 1 year*) Young (1-3 years) Adult (3-6 years) Senior (7+ years)

*Please note that we rarely have puppies available for adoption.

COLOR PREFERENCE: (Please list in order of preference with first color listed being your first choice)

EARS: Cropped Natural (floppy) No Preference

TAIL: Docked Natural (long) No Preference

Are there any dogs on our site you are particularly interested in adopting?

Please describe your "ideal dog":

How did you hear about us? (Newspaper Ad, GCDR Website, Petfinder.com, Flyer, Personal Referral, etc.)
If from another web site, which one? (This will help us know which links work best)

In emergencies such as hurricanes, what provisions will you make for your pet? g":

 

 

By submitting this application, you agree to have a GCDR representative contact you as well as check your references. You also understand that if approved, there will be a $250.00 adoption fee for each dog. Adoption fees for puppies (under 1 year) are $275.00.