HADR Adoption Applicaton

Our application will take some time to complete. Please take the time to enter as much information as possible and as completely and accurately as possible. When you are done click on the "Send" button at the bottom of the application. You should receive a message saying we will get in touch with you. If you do not receive an e-mail within 48 hours, please contact us.

If you have any problems with this form please e-mail the webmaster. If you would rather fill out a paper version of the application click here and mail it to us at: HADR, 2476 Bolsover # 755, Houston TX 77005.

Please note that (*) indicates required information.

Adopter Information

First Name*
Last Name*
Address*
City* (We adopt out to the Houston area and 2 hour drive limit to the surrounding area.)
State*
Zip*
Home Phone*
Work Phone
Alternate or Cell Phone
Email Address*
Best Time to Call*
Occupation*
Spouse Occupation

Personal Reference 1:

Name*
Relationship*
Phone Number*
Email

Personal Reference 2:

Name*
Relationship*
Phone Number*
Email

Veterinary Reference:

Clinic Name*
Veterinarian*
Address*
City*
State*
Zip Code*
Phone Number
Fax Number
Years Used*
Will you release your vet records to HADR?*	Yes No

Application Questions:

Why do you want to adopt a Doberman*
Describe your residence
Describe your yard
How high is your fence
What is the fence made of
If you do not have a fence how will you handle this Dobermans exercise and toilet duties?
Do you own or rent?
If you rent please include your property owners name and phone number
How long at your current residence*
Number of adults living at your residence*
Number of children living at your residence
Ages of children at your residence
Are all members of the household aware of the intent to get a Doberman?	Yes No
Are you willing to let a representative of HADR visit your home by appointment?	Yes No
If yu dont want a home visit then why not?
Who will care for this Doberman?*
Who will support this Doberman financially?*
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

Pets: Please list all pets (dogs and cats) currently living at your address and any other pets (dogs and cats) you have owned in the last three years.

Pet's Name (Dog or Cat and sex)	Pet's Age	Spayed/Neutered	Vaccinated

Past Pets:

Pet's Name (Dog or Cat and sex)	Pet's Age	Spayed/Neutered	Vaccinated

Additional Questions:

What happened to the 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

Indicate any preferences you have regarding a Doberman:

Sex*
Age*
Color
Ears
Tail
What is your time frame for obtaining a Doberman?*
Are you interested in a particular Doberman we have posted? If so please list the name
Would you be interested in volunteering with HADR?	Yes No

 

I certify that the above information is true and correct. I am aware that any false 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 deny this application for any reason. I am in full agreement with these terms.

 

Which one of these images 1,2,3,4 or 5 are Dobermans (enter corresponding numbers separated by commas, for e.g. 1,2,5) Images:

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