If you are human, leave this field blank.
Home Number
Cell Number
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Work Number
Email
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Age/DOB
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Are you applying for a specific dog? If so, which one?
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Co-applicants First and Last Name(s):
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Co-applicant's age(s)?
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Number of children?
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Age(s) of children?
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Other resident's age(s)?
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Do the other residents of your home also want a doberman pinscher?
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Your occupation?
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Your employer's address?
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How long have you worked for this employer?
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What are your current work hours?
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Are the other members of your household employed outside the home?
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What are their work hours?
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In what type of vehicle will the dog be transported (please specify make and model)?
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If you own a pickup truck, in what part will the dog be transported?
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If you are in the military, what will you do with the dog when you are deployed?
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Do you plan to have any additions to your family in the next 5-10 years?
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If you move, what will you do with the dog?
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What kind of home do you live in (house, mobile home, apartment, etc.)?
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Do you rent or own your home?
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If you rent, do you have your landlord's permission to own a doberman pinscher?
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How large of a dog will your landlord allow?
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What is your landlord's name, and a phone number he/she can be reached at?
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How large in approximate sq feet is your home?
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Do you plan to keep the dog inside or outside?
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Height of fence, and size of fenced in area?
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How often do you plan on taking your dog on a leashed walk?
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Are your other pets off-leash trained without a fence?
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How many hours per day will your doberman be left alone?
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Where will your dog be during the day?
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Where will your dog be at night?
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Are you familiar with the use of a crate to train/confine your doberman when you're not home?
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Are you willing to use a crate?
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Is there any aspect of your home your dog could affect that would bother you (white carpet, antiques, etc.)?
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Are you willing to move breakable/spillable items out of your doberman's reach?
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Does anybody in your home have an allergy to pet hair?
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If you have other dogs, please list the breed, gender, and age of each:
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Are any of your other dogs dominant-aggressive?
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Are all of your other dogs spayed/neutered?
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Are you able to provide proof that your other dogs are all vaccinated and up to date on their shots (rabies,parvo/distemper, heartworm preventative)?
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If you currently do not own another dog, have you owned one in the past? What happened to him/her?
Please list any other pets you may have (cats, hamsters, birds, etc.):
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Have you ever taken an obedience class before? Are you willing to enroll your doberman in obedience classes if needed?
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Why do you want a doberman pinscher?
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Please list any dog behavior you find objectionable (chewing, digging, etc.):
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What is your veterinarian's name, address, and telephone number?
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Character Reference 1: Please list the full name and telephone number of a personal reference *
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Character Reference 2: Please list the full name and telephone number of a personal reference *
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Character Reference 3: Please list the full name and telephone number of a personal reference *
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