• your living status... married single living with roommates
  your age group... under 21 21 - 40 41 - 60 61 & over
• How many adults are living in your household?
• How many children are living in your household?
• Child #1:

  male female
• type of domicile... house trailer apartment townhouse condominium
  own rent

• You must fax/email documentation to us proving that a dog is allowed to live in your community.

• If you moved to a place where pets are not allowed,
  what would you do with your dog?

• Have you ever owned a dog?
  yes no
• Why do you want to own a dog?
• Is it for your family?
  yes no
• Does the entire family want a dog?
  yes no
• Who doesn’t and why?
• Is it a gift?
  yes no
• Who is the recipient of the gift?

Your animals must be up to date on vaccines, heartworm prevention, and spayed or neutered in order for us to continue the application process.

Please list all the dogs & cats you have owned for the past five years both living and deceased:

• • Pet #1: type of pet... dog cat
    male female
  • Spayed/Neutered:
    yes no
    Still with you:
    yes no
• Click +/x to add/remove a pet:
• Do you have a regular vet clinic that your pet(s) visit?

  yes no

• Do you have a completely fenced yard suitable for a dog?
  yes no
• Describe fence, type, height, and approx. yard size:
• Do you have a kennel run?
  yes no
• • What is it used for?
  • Describe kennel, type, height, and approx. size:
• Will your dog have access to a dog-door?
  yes no
• Will it have dog-door access when you are not home?

  yes no
• If no fenced yard or kennel, how will you
  handle a dog’s exercise and toilet needs?
• Do you have a suitable dog crate?
  yes no
• What type of crate?
• How are your current pets housed?
• Pet #1:
• Click +/x to add/remove a pet:
• How many hours per day will the dog be left alone?
• While you are away from home each day,
  where will the dog be housed?
• Who will be responsible for the care of the dog?
• Will human or animal visitors come to your
  home to interact with your new dog?
  yes no
• Please describe who and what?
• Your lifestyle is:
  active passive
• What activities do you plan to do with your dog?
  • pet
  • obedience
  • agility
  • couch potato
  • other
•  
• Will your new dog be crate/cage trained?
  yes no
• Will you attend dog obedience classes?
  yes no
• Are you prepared for chewing, digging, scratching,
  housetraining, and/or mischievous behavior?
  yes no
• How will you reprimand your dog?
• It may take several months for your new dog to adjust to
  its new home and family.  How will you handle this?
• What behavior would cause you to return the dog to Doberman Rescue?
• Do you have time, patience, and physical ability to exercise a dog?
  yes no
• Are you prepared, both monetarily and emotionally,
  for any medical issues that may arise?
  yes no

• What is the name or names of the dog(s) you are applying for?

• How did you hear about or find IDR+?
  • Internet Search for Dobermans
  • Petfinder.com
  • Friend/family member referral
  • Advertisement
  • Car magnet
  • IDR+ Website
  • Previous adopter
  • Saw us at an event
  • Volunteer
  • Other
• Please give us a non-family reference:
• Please give us a family reference:

• $350.00 for puppies (7 months and under)
• $250.00 for adult dogs (8 months to 7 years)
• $125.00 for senior dogs (7 to 10 years)
• $50.00 for older dogs (10 years and up)

Adoption fees on the "Plus" dogs can vary!

• The information on this questionnaire will be kept confidential.

• I certify that all the information provided is complete and correct to the best of my knowledge.  I also agree to allow IL Doberman Rescue Plus to contact my vet and obtain my pet’s vet records.

• Signature

  • yes no
    Do you understand and accept that as a requirement of the terms of adoption that the majority of rescue dogs will need to attend obedience training within six months of adoption and that you have read or will review the Joys Of Training prior to the adoption procedure?
  • By checking this box, I agree that I have read, understand and accept the adoption process and policies listed on the IDR website.
• Foster Release

  If you would like to be considered as a possible foster family for one of our rescued dogs, please sign the release below.

  I accept responsibility for any illness or damage that can occur from a temporary care animal.  I release Illinois Doberman Rescue Plus from any and all liability, now and in the future, from my voluntary action of caring for any Illinois Doberman Rescue Plus pet.
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  • Please type “doberman” into this box: