The Dobermann Welfare Association Ltd takes great care to ensure that the needs and requirements of each individual dog and each prospective new owner are met.

If you are interested in adopting - one of our dogs - please take the time to print and complete this form.

Send by post to Sue Garner, 28 Abingdon Close, Hillingdon, Uxbridge, Middlesex UB10 0BU.

Tel:(01895) 253578

If you need assistance with completing this form or prefer to send information by email please send a message to - - please send all of the details below if applying by email.

Name (Mr/Mrs/Miss/Ms):
(Please print clearly)

Address:

{Address Continued)

Post Code:

Telephone Number:

Mobile Number:

Email Address:

If Enquiring About A Specific Dog
In Our Care, Please State Name:

If Not Enquiring About Specific Dog
Please State Any Requirements
(for example dog or bitch):

Number Of Adults Living
In Your Household:

Number Of Children Living
In Your Household
(please include ages of children and whether male or female):

List Of Other Pets / Livestock
(if this includes dogs, please include their age(s), breed, sex and whether neutered):

Previous Experience
With Dobermanns?

Size Of Garden
And Height Of Fences:

How Long Will The Dog
Be Left During The Day?

Where Will The Dog
Be Kept During The Day?

Where Will The Dog Sleep At Night?

What Areas Of The House Will The Dog Normally Have Access To?

Any Additional Information:

Signed:

Date: