ADOPTION APPLICATION FORM
Puppy Questionnaire

**Fully Completed forms receive priority

Thank you for taking the time to fill out this puppy questionnaire for your Riverside Doberman puppy. Submitting this form does not guarantee you the purchase of a puppy from us. However, by filling out this questionnaire you will receive priority for a puppy. Your answers will aid us in matching you with a puppy that will suit your goals and lifestyle. Your application will be reviewed and you will be contacted by us. Please ensure that the questionnaire is filled out in full. If you are unsure of any questions please contact us by phone or email so we can clarify any misunderstandings.

First Name:    Last Name: 

E-mail Address:

Age: (no offence) if you are under the age of 19 or still residing at home with your parents, permission from your parents will need to be obtained. 

City & Country:       Phone Number:

Have you ever owned a Doberman before? Yes  No
Why did you choose the Doberman Breed?
How many people live in your household?
Do you have children? How many and how old are they?

Please tell us of the dogs or any other pets you have owned in the last 10 years. Please indicate if you still own them, they are deceased or have been re-homed. Please state age and cause of death and age of re-homing if these apply:
 
Breed Status Reason
own now  re-homed  deceased
own now  re-homed  deceased
own now  re-homed  deceased
own now  re-homed  deceased
own now  re-homed  deceased
own now  re-homed  deceased


Where will your puppy spend most of its time?       
Where will your adult Doberman spend most of its time?        
When you are at work or out for the day, where will your Doberman be kept?

What type of fencing and how high is your fence?
If you do not have a fence, how do you plan to contain your Doberman?

Are there any reasons in which you would sell your Doberman?
Can you list any reasons you would need to re-home your Doberman?
What are the reasons you would feel would justify Euthanasia (putting your Doberman to sleep?):

Do you believe in crate training? Yes No

Do you believe socialization of your Doberman is important? How will you accomplish it?


Do you plan to attend obedience classes with your Doberman?

Do you plan to spay/neuter your Doberman before nine months? Yes No

Are you wishing to breed your Riverside Doberman at some point?  Yes No

Are you willing to sign a non-breeding contract with Riverside Dobermans and the CKC if asked to do so?
Yes No


Your New Puppy:

What characteristics and qualities are you looking for in a Doberman?

What type of personality or character traits would best match your own?


What behaviors would you find intolerable in your dog and how would you curb the behaviours?
ie. excessive barking, nipping, biting, chewing, digging, howling, licking, growling, defecating (house breaking)


Which (if any) of the following do you intend to do with your dog when it is ready?
Obedience Classes Competitive Obedience Agility Tracking
Conformation Breeding Schutzhund Flyball
None of these

What gender of puppy is desired? Are you willing to take the alternate? Yes No

Preferred color?   Do you have an alternate choice?

Would you like to have the puppies ears left natural or would you prefer to have them cropped?
Do you have any experience in wrapping cropped ears?

Are you able to pick-up your puppy, or would you prefer to have it shipped to you?


Please supply TWO references. If you have owned a pet in the last 10 years please have one of your references your prior Veterinarian.
 
Name Phone Number
Vet:
Other:
Other:

Any additional comments?