Adoption Application Form

Please complete each question as fully as possible. This will assist us in making sure that we make the best possible match for you and a Fostered Weimaraner who needs you.

Date * / MM / DD YYYY
Name * First Last
Spouses Name (If Applicable) * First Last
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone * - (###) - ### ####
Alternate Phone # * - (###) - ### ####
Email Address *
How did you hear about Heartland Weimaraner Rescue? *
Why do you especially want a Weimaraner? *
Do you have any preferences concerning age or sex? What Weimaraner currently in our program are you interested in? *
What other pets do you have now? *
What pets have you had in the last 5 years? What happened to them? *
How many children are in your home and their ages? *
How many people are in your home and what hours are they home? (In case we have a Weimaraner who needs a lot of people time) *
Describe the area in which you reside (City, Suburb, Rural) *
Do you own or rent your home? If you rent, does your landlord allow pets? If so may we contact them? *
Do you have a fenced in yard? (Please describe the height and materials) *
Where will the dog stay during the day; and at night? During family vacations? *
Why do you want a Weimaraner? (Hunting, Show, Breeding, Family Pet) *
Weimaraners are very intelligent, and can easily think they run the home, are you willing to take your Weimaraner to attend obedience classes? *
Are you willing to enter a binding contract that you will notify Heartland Weimaraner Rescue if you can no longer keep your adopted Weimaraner? *
What is your occupation/Spouses occupation? *
What is the name and phone number of your current vet? May we contcat him/her? *
Please provide us with 3 personal references (Name & Phone Numbers) *
Please feel free to include any other information which might be of value to us in determining that a Weimaraner is a good choice for your home. *