APPLY TO ADOPT

Date

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Cell Phone*

Home Phone*

Work Phone

Please enter work phone only if it is ok to call you there.

Email*

Occupation*

Do you or anyone living with you currently travel for work?*

Yes
No

Explain how often and who will watch your dog when you are gone.

Have you taken the "Are you ready for a Weim Quiz"?*

Have you taken the quiz and agree with all the questions? The quiz can be located on the left hand side of any of our web pages. You can also visit our "About the Breed" page. Please discuss any concerns with us during your phone interview.

Yes
No

Please explain why you would like to adopt a Weimaraner as opposed to a different breed or mix.*

What do you plan on doing with your Weim? Obedience, Agility, Hiking, Doggie Day Care, Walks, Play time, Snuggle time?*

Do you have a particular Weim in our program in which you are interested?*

Yes
No

What is the name of the Weim in which you are interested and let us know why in case that one is not available we can look for a similar one.*

Do you have a preference in the sex of the Weim you would like to adopt?*

Male
Female
No preference

Why do you wish to adopt only this sex?*

Do you have a preference in the age of the Weim you wish to adopt? Please check all ages in which you are interested.*

Do you have a preference in the age of the Weim you wish to adopt? Please check all ages in which you are interested.

Why do you wish to adopt this particular age?*

What is the maximum age of Weimaraner that you wish to adopt?*

What is the maximum age of Weimaraner that you wish to adopt?

Color Preference*

Gray
Blue
Either

What best describes your experience with dogs?*

First dog as an adult
Have had 1 or 2
Knowledgeable and experienced

List of Current Pets*

Click on the question mark to the right of the row to add another row. If you have a mobile device, the box to add more rows may appear under the rows.

Pet Name	Type of Pet (Dog, Cat, etc.)	Breed	Gender	Age	Where kept? (indoors, outdoors, kennel, crate, house, garage, etc.)	Spayed or neutered?

List of Previous Pets*

Click on the question mark to the right of the row to add another row. If you have a mobile device, the box to add more rows may appear under the rows.

Pet Name	Type of Pet (Dog, Cat, etc.)	Breed	Gender	Age	Where kept? (indoors, outdoors, kennel, crate, house, garage, etc.)	Spayed or neutered?	Reason for absence

Other Animals*

Do you currently have or plan to have other animals besides dogs and/or cats, such as horses, cows, chickens, etc. If so, please explain below including where they will be located, if they are dog-friendly, if they will be accessible to the dog, etc.

Do you currently have a vet or have you had one in the past?*

Yes
No

Vet or Clinic Name*

Please contact your vet to inform them that our reference checker will be calling to inquire about your care of your pets. Please give them your permission to release information to us.

Name of Vet

Vet or Clinic Address

Street Address City State / Province / Region ZIP / Postal Code

Phone # of Vet*

Heartworm Prevention - Do you currently give your dog(s) monthly heartworm prevention?*

Yes
No

What brand of heartworm prevention do you use?*

Are all your current pets up to date on vaccinations and heartworm testing?*

Yes
No

If you have cats, are they dog friendly and used to being around dogs?*

Yes
No
No Cats

What brand of food do you feed your current pets?*

If you currently have a dog, does it have any issues with resource guarding their food, toys, people?*

Yes
No

Will your current pets accept a new dog? And how would you characterize your current pets - dominant, submissive, friendly, playful, shy, scared, territorial?*

If the adoptive dog and the other animals do not initially get along, how do you plan on handling this?*

Do you own or rent?*

If you rent, please include a copy of your pet clause in your lease demonstrating that you can have a Weimaraner at your residence. A letter signed by your landlord or management company on letterhead that you have permission to have a Weimaraner will also be accepted. Weimaraners may grow to be as large as 100 lbs. If you rent, we will not consider you for adoption until we have received this.

Own
Rent

Please choose the type that most closely resembles your home.*

House
Condo / Townhouse
Apartment
Farm

Do you have a fenced yard?*

Yes
No

Describe Fence

Please describe the type of fence you have. Does it surround a fully enclosed area? How high is it? What is it made of?

Alternate Exercise*

If you don't have a fence, do you plan on installing one? Dogs may run off and/or roam if given a chance. Weimaraners are a hunting breed and need a lot of exercise. If you do not have a fenced yard, how will you exercise him/ her every day?

Have all members of your household agreed to adopting a dog?*

Yes
No

Members of your household - Please include yourself*

Please list everyone living in your home (including yourself), their relationship to you, and their ages. Please click on the question mark to the right to add another row. If you have a mobile device, the box to add more rows may appear under the rows.

Name	Relationship	Age

Is anyone in your household allergic to dogs?*

Yes
No

Are you willing to educate your children and/or visiting children on the humane care of animals and to supervise young children around your dog?*

Yes
No

Describe your normal household activity level.*

Quiet
Moderate
Very Active
Chaotic

On average, how many hours are your current dogs/will your new dog be left alone during the day. How long is the longest left alone?*

Please describe where your current dogs/new dog will stay during the day.*

Weimaraners are inside dogs and should never be left outside or tied out.

Please describe where your current dogs/new dog will stay during the night.*

Weimaraners are inside dogs and should never be left outside or tied out.

Please describe where your current dogs/new dog will stay when you go on vacation.*

Even if the Weimaraner has been previously house trained, you should expect that it would not be house trained at first in a new home. This may be temporary or require training. Are you willing to work with your Weim?*

Yes
No

LWR highly recommends enrolling your Weim in positive reinforcement training classes upon adoption in order to learn to communicate effectively and to build a positive bond with your Weim. Are you willing to take your Weim to obedience training?*

Yes
No

Destructiveness - Some dogs may become destructive when left alone, but there are ways to train them not to chew or make a mess in the house when they are alone. Are you willing to take the time and effort to train your Weim?*

Yes
No

Crate Training - Are you willing to try to use a pen, crate or find some other means of solving problems if your Weim is destructive?*

Yes
No

We cover a large area, are you willing to travel to meet a prospective Weim? If you have a maximum driving distance, please note it.*

Our Weimaraners are located in foster homes throughout Kentucky, Indiana, and Ohio. You and all members of your family and current dogs will have to travel to meet the dog in which you are interested.

Have you planned a vacation away from home in the next 3 months in which your newly adopted Weimaraner will not accompany you?*

We prefer you not leave your newly adopted Weimaraner for an extended period of time too soon after adoption. Therefore, we may not conduct your interview until you return from vacation if the Weim will not be going with you.

Yes
No

How long will you be gone and who will watch your dog while you are gone?

Life Changes - Nothing is life is guaranteed.. But please describe any major life changes you foresee in the next 15 years*

such as marriage, having children, attending college, health concerns, financial concerns, moving, etc. Under which of these circumstances might you find it necessary to return your Weim to LWR.

Home Visit - A rescue representative will visit your home before you adopt a Weimaraner. Is this acceptable to you?*

Yes
No

Personal Reference*

Give the name, city, state, and phone number for a personal reference. We would prefer the reference to not be a relative. Please contact your personal reference to notify them that one of our volunteers will be contacting them.

Name	City	State	Phone

Life of the Weim - Weims normally live to be 12-14 years old. Some are living as long as 16 years. Our rescue agreement will require that you take responsibility for the Weim for its entire life. In the event that it is not possible for you to do so, you must agree to return it to Louisville Weim Rescue. Is this acceptable to you?*

Yes
No

Certification - I understand that any dog I obtain will not be perfect. I must give my new dog plenty of time to adjust. The adjustment period could be anywhere from one month to six months, sometimes longer depending upon the dog. I will be required to spend a lot of time and energy training and exercising my new dog. It will be necessary for me to teach him the rules of the home if I expect him to adjust properly. I will not expose him to lots of new people, places, or pets until he has had the opportunity to become comfortable with his/her new surroundings and family. He must not be exposed to strangers and especially children until I have formed a bond with him and am fully aware of his temperament so as not to put anyone in danger. Dogs are animals and therefore unpredictable. I will be careful and patient.*

Yes
No

Your Name*

Typing in your name here is your electronic signature that you are the one completing this application and that all information herein is correct.

Date Completed*

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