VSDR Adoption Request Step 1 of 5 20% Application Fee Price: At the end of this request form, we collect a small fee to limit the number of submittals received to only those from serious adopters. In the past, we’ve had a lot of requests from people who later (or very soon) changed their mind, or weren’t fully committed to the decision to adopt. Once you find a perfect match, this $25 is applied directly to the adoption fee. In the very rare case we decline your request, the $25 will be refunded. We appreciate your understanding of the process, and look forward to working with you to add the perfect new member to your family!PLEASE BE AWARE: An approved request does not automatically reserve your requested dog. There may be multiple requests already in progress. Approved requests stay on file, and approved adopters have first chance at new dogs.Contact InformationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Additional InformationWhich dog are you interested in?(Required)Do you live in a House Apartment Condo Other Approximately how large is your home? (sq/ft)Do you Own Rent If applicable, what is your Landlord's name?If applicable, what is your Landlord's phone number?How long have you lived in your current residence?How many adults live in your home?Please list the ages of the adultsHow many children live in your home?Please list the ages of the childrenDoes anyone in your household have allergies? Yes No Who will be primarily responsible for the care of this dog?Which of the following best describes your reasons for wanting this dog? (Check all that apply) Companion Guard Dog Obedience Training Agility Jogging Walking Buddy Couch Warmer How many hours a day will the dog be alone?(Required)Where will the dog be kept when no one is home?(Required)Where will the dog be kept at night?Do you have a fenced yard? Yes No How tall and what kind of fence?Do you have other pets? If so, please list species and ageSpecies (dog, cat, bird, etc)Age Add RemoveIf so, are the other pets up to date on their vaccinations? Veterinarian InformationDo you have a primary veterinarian? Yes No Vet's Name(Required) First Last Vet's Phone(Required)What name is the vet records under? Please make sure to contact your vet to release information to us.(Required)If the dog you adopted needed daily medication, what would your maximum monthly budget allow for?What type\brand of dog food do you plan on feeding your dog?Under what circumstances would you not keep this dog? Please provide information about all of your pets for the last 7 yearsPet #1SpeciesBreedAgeSexYears OwnedWhere are they now? Add RemoveAre any of your current dogs aggressive in any way? Yes No If yes, please elaborateWhat temperament and activity level you are looking for in a dog (check all that apply): High Energy Outdoorsy Lap Dog Mellow Affectionate Quiet Guard Dog When it comes to relating to dogs, I tend to be more: Strict, demanding (the dog must sit for a cookie) Moderate (encouraging good behavior, ignoring bad) Lenient (easily coerced by the dog) I prefer a dog that... (check all that apply): Loves children and strangers Can tolerate children and strangers Loves all other animals Can tolerate other animals Don't care if he/she gets along well with other animals The noise level in my home is usually High Medium Low Where will your pet ride when in your vehicle?I would prefer a dog that: Would enjoy walking with me on a leash Would enjoy going to the dog park Would run, jog, or hike with me Will exercise him/herself in our yard Requires only enough exercise to do his/her business Why do you want a Doberman Pinscher?My ideal dog would:Bad dog habits that I just can't tolerate include:If asked, would you submit to a criminal background check (never to be made public)? Yes No Please read and check to agree You agree to the following statement: I certify that the above information is true and correct to the best of my knowledge. I also acknowledge that falsification of any of the above can result in my being denied adoption of an animal or, if an animal has been adopted to me, the return of that animal to Volunteer State Doberman Rescue. Please attach a video of your home Drop files here or Select files Max. file size: 1 GB. Please start your video in the front of your home (showing your address if possible), move through the common areas of your home (living areas, kitchen, etc.). Finish with a shot of your yard and fencing, if applicable. Please keep your video to a minute or two so that it will meet the 100MB limit. We will begin checking your veterinary and/or personal references soon! Credit Card(Required)Card Details Cardholder Name
