Rosemary Application Post June 15, 2026 Please fill out this application if you are interested in adopting Rosemary, the special needs Doberman puppy! Adopter Information First & Last Name: * E-mail: * Address: * City, State, Zip: * Home Phone: Cell Phone: Are you 18 or older?: Yes Are you 65 or older?: Yes No Drivers License #: * Children and Your Home: * I have children I do not have children Children visit my home Children rarely visit my home Children's Ages: Living Situation: * Rent Own Live with Parents Mobile Home Condo/Apartment If you rent, does your landlord have breed/size requirements? (Dobermans are often included on breed restriction lists): Yes, there are weight/breed restrictions No, there are no restrictions Don't know/Not sure Pets Living In Your Home Please list all pets in past 10 years: * Please list all pets that have lived in your household in the past 10 years. Include the pets type, age, sex, breed, if it was altered (spayed or neutered), how long you owned it, where it was kept in your house, and if you currently still own this pet. Please provide more information on any animals currently in the home (include breed, sex, and spay/neuter status): Please Complete These Questions Have you had experience with Dobermans in the past?: * Have you had experience with special needs animals in the past?: * Do you have a large amount of stairs in your home?: * Do you have any other safety concerns in your home? (Unfenced pool, etc): * Yes No Not sure, see below Possible Safety Concerns: Is there anything else you would like to tell us about your home, or why you would be a good match?: *
