Typing in your name here is your electronic signature that you are the one completing this form, that you are the owner of the Weim, and that all information herein is correct. You will be contacted within the next 24-36 hours to discuss your situation, answer any questions you may have, and talk about your Weim coming into rescue.
If submit this form and get error messages, please review the form for completeness. Many fields are required and you may have missed entering some information.