Illinois Doberman Rescue Plus (hereinafter referred to as “IDR”) is dedicated to finding the very best homes for our rescued
dogs and cats. To meet this goal, we carefully scrutinize all applications. We check all veterinarian, landlord, and personal references. If you are serious about adopting a dog, please complete the application IN FULL. Questions left blank will only slow the adoption procedure.

Please note that since our mission is to reduce the pet overpopulation problem, we will not adopt to homes with pets that are not spayed/neutered unless there is a reasonable explanation as to why the animal is not spayed or neutered (i.e., being shown in conformation, medical, etc.) Your pets must also be up to date on vaccinations and on heart worm prevention. Thank You.
Name: First & Last Address: City, State, Zip
Home Phone: Email Address: County:
Occupation: Company:  
 
Address: City, State, Zip Work Phone:
Are you.... Married  Single  Living with Roomates
Your age group.... Under 21  21-40  40-60  60+
How Many Adults in your household? How Many Children? Ages & Gender of Children?
Do you live in a.... House  Townhouse  Condo  Apartment  Trailer
If you live in a townhouse or condo, you must fax/email documentation to us proving that a Dog is allowed to live in your community.
Do you rent or own? Rent  Own  
If you move where dogs are not allowed, what would you do with the dog?
Have you ever owned a dog? Yes  No  
Why do you want to own a dog?
Is it for your family? Yes  No  
Is it a gift? Yes  No  
Who is the gift for?
Does the entire family want a dog? Yes  No  
If not, who doesn't and why?
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 cats/dogs you have owned for the past 5 years (both living and deceased - we do not need you to list small mammals, farm animals, etc):
 
  Animal #1 Animal #2
Animal’s Name & Breed/Kind?
Age?
Sex?
Spayed/Neutered?
Still with you?
If you no longer own the animal where are they now? Lost? Hit by car? Put to sleep/died? Why/How? Given away? Why? To whom?
     
  Animal #3 Animal #4
Animal’s Name & Breed/Kind?
Age?
Sex?
Spayed/Neutered?
Still with you?
If you no longer own the animal where are they now? Lost? Hit by car? Put to sleep/died? Why/How? Given away? Why? To whom?
Do you have a regular vet clinic that your pet(s) visit? This includes previous pets from the last 5 years. Be sure to list info even if pets listed above are now deceased
 Yes  No  N/A
Do you have a completely fenced yard suitable for a dog? Yes  No  
If No, What is your exercise plan?
Do you have a kennel run? Yes  No  
If Yes, What is it used for?
Will your dog have access to a dog door? Yes  No
If Yes, Will it have access when you are not home? Yes  No
Describe fence/kennel, type, height, and approx. size:
If no fenced yard/kennel, how will you handle a dog’s exercise and toilet needs?
Do you have a suitable dog crate? Yes  No  
If so what type
Please specify where your current animals are housed?
  Animal Type: Housed In:
Animal #1
Animal #2
Animal #3
Animal #4
How many hours per day will the dog be left alone?
Where will the dog be housed while you are away from the house on a daily basis?
Whose responsibility will the care of the dog be?
Do you have other visitors/family come to your home, human or animal with which a new dog will have to interact?
Please describe who and what?
Is your lifestyle: 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 Why crate train?
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 the 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
Name:
Address:
Phone:
Relationship
Please give us a FAMILY reference
Name:
Address:
Phone:
Relationship
The information on this questionnaire will be kept confidential.

Our adoption fees are:
$250.00 for adult dogs (8 mos-7 years)
$350 for puppies (7 months and under)
$125 for seniors (7-10 years)
$50 for older dogs (10 years and up)

**The Adoption fees on the "Plus" dogs can vary!
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.
 
By checking this box, I agree that I have read, understand, and accept the adoption process and policies, listed on the IDR website.  
 
Type your name for digital Signature:
Date:
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.
Type your name for digital Signature:
Date:
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