Full Name:

Address:

City:                                         State:                   Zip
                     

Email address:

Phone: (Please include area code)
Day:   
Night:

Age:  

Have you ever been charged with animal cruelty or child abuse?:  

If yes, please explain:

Do you own your home (i.e. property is in your name) or is it rented?:  

Do you have a completely enclosed fenced yard?:  
Is the fencing attached to your home or is it a detached separate pen?:  
Height of fence:              Fencing material:    

Size of area that is fenced (i.e. in acres or square feet:  

Do you own a large dog crate?:  


Do you currently own a Doberman?:  
Please tell us a little bit about your Doberman, or other dogs, including the dogs you've had as an adult in the past (please do not include information on childhood pets:

Have you ever taken a formal obedience class?:  

If yes, where (name of training facility) and when?:  

 

Are your current dogs spayed/neutered? 

Are your current dogs up-to-date on vaccinations?:  

Are your current dogs on monthly heartworm preventative?:  

       If so, what brand?:  


Do you have cats? 

Do you have children in the home? If yes,  what are their ages?

 

Do you work outside of the home?  If so, full or part time?

Where will your foster dog stay during the day?:  

Where will your foster dog sleep?:  

Where will your foster dog stay when no one is at home?:  

Do all members of your family feel comfortable taking care of a strange Doberman?:  

We will need to contact your veterinarian in order to do a reference check.

Veterinary contact information (clinic name, address, and phone number):




Why are you interested in fostering a rescue Doberman?

Additional comments: