Online Adoption Form (TEST)

Do you have children in the home under the age of 8? We do not adopt to households with children under 8.
- Yes
- No
We're sorry, Doberman Rescue will not adopt to a home with children under 8 years of age.
Do you have a fenced yard? Fencing must be physical fencing: chain link, wood, wrought iron or vinyl and has to be at least 4' high. Invisible fencing does not constitute fencing for the purposes of this question.
- Yes
- No
We're sorry, Doberman Rescue requires a fenced in yard.
Do you keep your current dogs on monthly heartworm preventative (please note that we will check with your vet to make sure there is a history of purchasing or having it scripted out by them online).
- Yes
- No
We're sorry, Doberman Rescue requires proof of heartworm prevention to adopt one of our dogs.

Your Name*
First Last
Occupation
Spouses Name
First Last
Spouse's Occupation
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
We're sorry, Doberman Rescue of Nebraska only services the states of Nebraska, Iowa, and South Dakota.
What is the best time to contact you?
How did you hear about us?
What Doberman are you interested in adopting?

I have answered all questions above truthfully to the best of my knowledge and understand that Doberman Rescue of Nebraska reserves the right to refuse adoption for any reason.*
Name and Date (your name entered here will be considered your signature)
Please Note: A fenced yard is required. *We do not place our rescue dogs in homes with very young children (under the age of 8 years). We set these limitations, not because of aggression issues with our dogs, but because Dobermans are generally large, active dogs and can easily knock down, run over or easily trip a small child, causing a serious fall. We reserve the right to refuse adoption for any reason.
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