Thank you for your interest in adopting a Rottweiler!

Please complete the following information to help us find a suitable Rottweiler for you and your family.

Your name: Address:
City: State: Zip:
Age: Phone Number:

If at the above address less than 2 years, please provide previous address:

Address:
City: State: Zip:

Will you accept a collect call from us?
Yes
No
Phone Number:

Marital Status:
Married
Single
Divorced
Widowed

Occupation:

Employer:

Your Email address:

Include information for spouse/partner:

Name of spouse/partner:

Occupation & Employer:

Please list everyone living at your home full or part-time, besides you and your spouse:

Name: Age: Sex:
Relationship:

Name: Age: Sex:
Relationship:

Name: Age: Sex:
Relationship:

How did you hear of us?
Why do you want a Rottweiler?

Do you want a male or female?
What age?

Which of our Rottweilers are you interested in?

List your present dogs:

Name: Breed:
Sex: Age:
Spayed/Neutered?

Name: Breed:
Sex: Age:
Spayed/Neutered?

Name: Breed:
Sex: Age:
Spayed/Neutered?

List other present pets (cats, etc.):

Are all your pets "Up To Date" on all their vaccines?

Are your dogs on heartworm preventitive?
If yes, what brand?

Please list other dogs you have owned and what happened to them:

We do check with your veterinarian, so please include their information and give them permission to release your information to us.

Veterinarian:

Phone Number:

Address:

City: State:

Will you take your rottweiler to obedience school?
If no, why not?

Have you taken any of your other dogs to obedience classes?

Where will your Rottweiler be kept when you are home?

Where will your Rottweiler be kept when you are not home?

Have you ever crated a dog?

Are you willing to buy a crate for your Rottweiler?
If no, why not?

Where do you live?
House
Apartment
Condo
Duplex
Other, Please explain:

Do you Own or Rent?
If rent, please give us your landord's information:
Landlord Name:
Phone Number:
Address:

Do you want:
House Dog
Outside Dog

How will you keep your Rottweiler under control when outside?
Completely Fenced Yard
Kennel
Electronic Fence
Chain
Other, Please explain:

If there is more than one adult in the household, all names must be on this adoption application. By typing in signature, I state the information above is true to the best of my knowledge. I understand there is a $250 donation ($300 for puppies - when available) if an adoption takes place. I give permission for my veterinarian to release any and all information regarding my current or past pets.

Sign: (Adult signature)

Date:

Sign: (Adult signature)

Date:

**WE DO HOME CHECKS**

Thank you for your interest in adopting a rescued Rottweiler