Application - Angelcare Animal Hospital - Racine, WI

Angelcare Animal Hospital

6915 Washington Ave.
Racine, WI 53406


Doberman Application

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State / Province (required)
Zip / Postal Code (required)
Phone (required)
Phone TypePhone Number (required)
E-Mail Address :
How did you find us? (required) :
Were you referred by anyone? (required) :
If so who?

What research have you done on the Doberman? (required)

What qualities attracted you to the breed? (required)

Have you ever owned or titled a doberman before? (required) :
If yes to titling- What titles did you acomplish?

Have you ever met a Dynasty Doberman before? (required) :
If yes- Who and were?

Do you currently have any pets? (required) :
If yes please elaborate:

Briefly describe your history with dogs: (required)

What dog clubs ,if any, do you belong to? (required)

Who would you be training with and were? (required)

What are your goals for your new dog? (required)

What type of home do you have? (required)

Do you have a fenced yard? (required) :
Do you have time to socialize and train your new puppy/dog? (required) :
Do you have experience taping cropped ears? (required) :
Are you interested in a male or female? (required) :
Are you interested in an puppy, adult, or senior? (required) :
Do you have children? (required) :
If yes or in the future, what will be their involvement with the new dog?

Have you ever crate trained a puppy before? (required) :
Is your dog going to be a house dog? (required) :
Please provide three references, including your veterinarian. (required)

Check the reCAPTCHA to ensure you are not a robot: