Adoption Application

Doberman Assistance, Rescue and Education, Inc. (DAR&E)

DAR&E is dedicated to the care of Dobermans and to your satisfaction with the Doberman you receive from us. Please take a few minutes to fill out this questionnaire (you can also download a copy then mail/email it to the address on the form). Your answers will help us to match your needs with the Doberman in our program. Once we receive your completed questionnaire, we will review it and have a home visitor contact you.

PLEASE NOTE
1. DAR&E does not accept adoption applications for homes with children under the age of 10.
2. DAR&E does not adopt out to applicants who rent.
3. For applicants with room mates. Please note that DAR&E will only adopt out to those applicants
with one room mate, the room mate has to have been living in the home for a year, and the applicant must own the home.

Adoption information:





Now, I need to ask you some questions about you and your family. Please remember that these will be used to
help us successfully place each Doberman.....






How many people live at the residence? (please include yourself)*
Name
Relationship
Age

Name
Relationship
Age

Name
Relationship
Age

Name
Relationship
Age
Include more people?

Name
Relationship
Age

Name
Relationship
Age

Name
Relationship
Age

What other animals live in your household? (If a room mate has a pet of their own please list this pet below. DAR&E does not adopt males out to homes with males already in residence.) *
Name Type/Breed Gender Spayed? Neutered? Age How long owned? Where is it kept?
What other dogs have you owned - indicate which ones (if any) were Dobermans. If they are no longer with you, please tell us why. If the reason is death, please tell us the age of the dog at the time of death and the cause of death.



“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 DAR&E. I certify that all the information I’ve provided in this questionnaire is accurate and true.”
I agree