Houston Area Doberman Rescue (HADR)

Fields marked with [*] are required. Please provide as much detail as you can. If you encounter any problems please contact webmaster@hadr.org.

Adopter Information Name [*]
Address [*]
Address 2
City [*]
State [*]
Zip [*]
Home Phone [*]
Work Phone
Alternate Phone
Email [*]
Occupation [*]
Best Time to Call [*]
Spouse's Name (if applicable)
Spouse's Occupation (if applicable)
How did you find out about HADR?

Personal References Reference 1 - Name [*]
Reference 1 - Relationship [*]
Reference 1 - Phone [*]
Reference 1 - Email
Reference 2 - Name [*]
Reference 2 - Relationship [*]
Reference 2 - Phone [*]
Reference 2 - Email

Veterinary Reference Clinic Name [*]
Veterinarian
Address
City
State
Zip
Phone
Fax
How many years have you used this vet?

Application Questions Why do you want to adopt a Doberman [*]
Describe your residence: [*] House Apartment Townhome Duplex Other
Height of the fenced area:
Type of fence:
If you do not have a fence, how will you handle this Doberman's exercise and toilet duties? [*]

Do you: Own Rent
Property Owner Name:
Property owner phone:
Length of time at current residence:
Number of adults in household
Number of Children in Household
Ages of Children in the Household
Are all members of the household aware of the intent to adopt a Doberman? Yes No
Are you willing to let a representative of HADR visit your home by appointment? [*] Yes No
If no, why not
Who will care for this Doberman (grooming, feeding, walking, training)? [*]
Myself Spouse Friend Family Parents

Who will support the Doberman financially? Myself Spouse Friend Family Parents

Describe your weekly work schedule: [*]
Where will you keep this Doberman when you are not at home? [*]
Are you willing to attend a basic obedience course with your Doberman? [*] Yes No
Please list all pets currently living at your address:

Current Pets (Type of Pet)	Pet's Name	Age (Year.Month)	Sex	Spayed/Neutered?	Vaccinated?

Please list any other pets you have owned in the last three years:

Past Pets (Type of Pet)	Pet's Name	Age (Year.Month)	Sex	Spayed/Neutered?	Vaccinated?

What happened to pets that are no longer with you?

Describe the causes and prevention of Heartworm Disease: [*]

Will you maintain your Doberman on heartworm preventative? [*]
Yes No

Doberman Preferences Indicate any preferences you have regarding sex of a Doberman
Male Female No preference

Indicate any preferences you have regarding age of a Doberman
Puppy/juvenile (0/2)
Young Adult (2-4)
Adult (4-8)
Mature Adult (8 plus)
No Preference

Indicate any preferences you have regarding the color of a Doberman
Black/rust
Red/rust
Blue/rust
Fawn/rust
No Preference

Indicate any preferences you have regarding the ears of a Doberman
Cropped
Natural
No Preference

Indicate any preferences you have regarding the tail of a Doberman
Docked
Natural
No Preference

Have you checked our website to see the available dogs that we currently have for adoption? If so, is there a particular dog that you are interested in?

What is the timeframe for obtaining a Doberman [*]

Would you be interested in volunteering with HADR? [*]
Yes
No

I certify that the above information is true, complete, and correct. I am aware that any false or incomplete information may result in nullifying this application. I understand that this application in no way constitutes an adoption agreement. Houston Area Doberman Rescue reserves the right to reject this application for any reason. I am in full agreement with these terms.

Houston Area Doberman Rescue (HADR)

Adoption Application