Adoption Application Form Address
Country
Select Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Democratic Republic of the Congo (Kinshasa) Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo (Brazzaville) Romania Russia Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (Dutch part) Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Turks and Caicos Islands Tuvalu Türkiye Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) United States (US) Minor Outlying Islands United States (US) Virgin Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Which puppy gender are you interested in?
Do you currently have any pets?*
If you currently have pets, please list them below.
Are your current pets altered?
If your current pets are not altered, please explain why below.
Are you planning to move in the near future?
When will you be ready to pick up your puppy if you get approved?
Are you in contact with any other adoption center about a specific dog?
Are you going to meet another dog?
Is anyone in your home allergic to dogs?
Does anyone in your home fear dogs?
Does anyone in your home smoke?
Are you familiar with dog regulations in your area?
If yes, please describe local dog regulations and restrictions:
Do you rent or own this property?
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?
Approximate square footage of your home
If vertical fence, what is your fence height?
Do you work outside the home?
If you both work outside the home, how many hours per day are you away?
How many hours per day will this dog be alone? Please explain.
Have you discussed this adoption with all members of your household?
Based on the description and the information you have gotten about the puppy from our website, do you feel pretty confident that you will be likely to adopt this puppy upon meeting it?
Upon meeting the puppy, what would give you cause to not want to adopt it? Please explain.
What activity/energy level do you prefer?
Please check all that apply. I want to adopt this dog...
As a family pet To breed with my dog To train/use for hunting To train/use for agility To train/use as a therapy dog To train/use as an assistance dog for the disabled To use as a guard dog For a jogging/hiking partner To interact with lots of friends/family As a gift for a friend, partner, or family member As a companion for my dog(s) As a companion for my cat(s) As a companion for my child/children
Please check all that apply. My adopted dog will...
Be kept outside most of the time Be kept indoors most of the time Be left outside during the work day while we are away Be kept inside while we are away Be crated when we are not home Have free reign of the house when we are not home Be taken to formal obedience classes Be trained by me/us Take frequent car rides with us Be kept on a lead line/cable in the yard Be mostly interacting with adults Be interacting frequently with children under 8 Be interacting frequently with older children Must be housebroken prior to adoption Will be housetrained by us Will be walked more than one mile per day every day Will be walked occasionally Be attending formal group obedience classes with us Be trained by us without the advice of a trainer Have private sessions with a trainer as needed Be attending agility classes Be taking frequent car rides/trips with us Be boarded when we go on vacation Stay with family when we go on vacation Be given away to someone else if we feel it's not a good match for us Be turned in to a shelter if we can't keep it Be going camping with us Be going on boat trips with us Be outside with a dog house in a fenced area Be outside chained/tethered to a dog house Be free roaming on the farm (unfenced) Others
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with at the time of adoption or at any time during the life of the dog?
Housebreaking Chewing Jumping Pulling on leash during walks Counter surfing Obedience training Fear of men Fear of women Fear of children Mouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training) Growling Barking Rough play with my dog High activity level Food/toy aggression/not willing to share with other dogs Food/toy aggression with people Whining/crying Counter surfing Blindness Limited Sight Deafness Separation Anxiety Diabetes Special Diet Long Term Medication Incontinence / Leaking Urine Taking classes with the dog Gets stressed/carsick when riding in vehicle Doesn't know how to climb stairs Can't climb stairs due to age/arthritis/health issues Heart condition Skin allergies Food allergies Trimming nails Yeast on coat or in ears Ear mites Fleas Ticks Heartworm preventative Annual heartworm/lyme combo testing I will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs. Other
What would cause you to return a dog?
What do you feel is a reasonable amount of time for a dog to adjust to life with you/your family?
How do you plan to integrate this dog into your family?
What would you do if you discovered after adoption (at any time during the life of the dog) if your vet diagnosed an expensive health condition?
Do you plan to get pet health insurance?
Grooming (please check all that apply)
We use a professional groomer We trim dog nails ourselves at home We bathe our dogs at home once a week We bathe our dogs at home once a month We bathe our dogs at home once every few months or whenever their coat feels dirty We bathe our dog twice a year We don't bathe our dog We check ears weekly for infection/yeast/mites We check coat daily for ticks in spring/summer/fall We clean teeth using home methods We take our dogs to the vet for dentals whenever the vet recommends this is needed Prefer a dog that doesn't shed Don't care about shedding
Do you plan to take formal obedience classes?
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know to help match you up to a Dog?
Please read the above, check this box, sign, and click Submit.
I understand that completing this application does not actually guarantee I will be allowed to adopt a dog, and that the application is a tool to help us determine if this puppy and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or the removal of the adopted dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.
I agree to allow a representative of Racheel Leen Doberman puppies to contact my vet for a reference and also agree to allow a home visit prior to adopting this dog. If I am approved to adopt a dog, I agree to pay a partially refundable reservation fee for paperwork completion and hand-sign an adoption contract at the time of adoption/visit. The rest of the adoption fee is paid in cash prior to pick up.
I understand that all puppies adopted from Racheel Leen Doberman puppies will be spayed/neutered, heartworm tested, fecal tested, and vaccinated prior to adoption.
Submit
Note: After you submit this form, you will be redirected to Racheel Leen Doberman home page. Feel free to write us with any questions:
Contact us adopt@racheelleendoberman.com
Renters: Please send a copy of the pet section of your lease or a landlord pet permission letter to the email address above.
Racheel Leen Doberman have the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our puppies.