LOUISVILLE WEIMARANER RESCUE, INC.

We welcome and appreciate your interest in providing a good home for a Weimaraner. Please understand that your completion of this application does not guarantee that a suitable Weimaraner will be found for you. Please also understand that applicants are not placed on a waiting list in the order of the date of application. Rather, in each case of selecting a home for a Weimaraner all applications will be considered equally. We do this in order to attempt to select the most suitable home for that Weimaraner in light of its health, personality, behavior and other factors. We attempt to select the most suitable Weimaraner for the home in light of the answers you have given above.

In the event that a Weimaraner was to be considered for adoption by you, there would be a written agreement between you and the LWR. We might visit your home. In the written agreement, among other things, you would make certain agreements regarding your care of a Weimaraner. You would agree that the Weimaraner would be returned to LWR if you do not abide by the agreements or if you no longer want or could no longer take care of the Weimaraner.

Please understand that, while LWR will have had the Weimaraner examined by a veterinarian, LWR cannot make any guarantees regarding the health or physical condition of the Weimaraner. Understand too that all expenses after the adoption (including medical expenses) relating to the Weimaraner would be your responsibility.

The Weimaraner will be spayed or neutered, if over 6 months of age, before you adopt it. There will also be anadoption feefrom you to LWR to defray expenses relating to rescue efforts prior to your adoption. This does include the Weim will be current on his/her shots (puppies may not be old enough to receive a rabies vaccination prior to adoption), veterinarian checked, started on heartworm preventative, and micro-chipped. Unspayed or unneutered puppies are an additional $100 at the time of adoption. This $100 is refunded upon proof of surgery sent to Denise King by the puppy's age of 9 months.

11 months and under: $375.00

12 months – 6 years: $300.00

7+ years:$175.00

The Louisville Weimaraner Rescue, Inc. Committee would appreciate it, after you complete this application for adoption and while awaiting a Weimaraner, if you would notify LWR if you get another dog. Also let us know if you decide that you no longer wish to adopt a Weimaraner.

For more information, please contact an Adoption Coordinator listed below.

Please return your completed application to:

Denise A. KingJackie Pondy

16810 Hwy 624305 Arlington Circle

Charlestown IN 47111Indianapolis IN46237-9214

812-256-3967/FAX 812-256-0249317-784-5574

LOUISVILLE WEIMARANER RESCUE, INC.

Adoption Application

The following information will help assist the Louisville Weimaraner Rescue, Inc. Committee in attempting to select a suitable Weimaraner for you and your family to adopt. This information will be helpful in determining that a proposed adoption is in the best interests of the Weimaraner and you and your family. Please use as much space as you need to answer the questions in detail.

Name: / Date:
Address:
City: / State:
Zip Code: / County:
Home: / ()- / E-Mail:
Work: / ()- / Referred By:
Cell: / ()- / Your Occupation:
Why do you want to own a Weimaraner?
Do you have any preference concerning age or sex?
Please explain your concerns and the oldest you will adopt. / Age: / Yes
No / Sex: / Yes
No
What Weimaraner currently in our program are you interested in?
Do you have a preference to the Weimaraner being “blue” in color? / Yes / No
Have you owned a dog before? / Yes / No

If yes, please describe each dog and how long you owned it. If you no longer own the dog, describe what happened to it.

Do you have any other pets? / Yes / No

If yes, please describe each pet. Type, Age, Sex and is the animal spayed or neutered?

Are all of these pets friendly toward dogs? / Yes / No
If the adoptive dog and the other pets do not initially get along are you willing to find ways to solve it? / Yes / No
Do you have a Veterinarian, or have you had one in the past for your animals? / Yes / No
May we contact them? / Yes / No
Name:
Address:
State: / City:
Zip Code: / Phone: / ()-

**Before submitting your application, please contact your Vet’s office to give us permission for them to release information to us regarding our pet(s). Recently we have encountered that Vet’s offices will not give out any information until the client has given permission. Please provide the name of the person you spoke with at your Vet’s office.**

Name:
Do you keep up on needed vaccinations on all pets? / Yes / No
Do you give heart worm preventative on all pets? / Yes / No

Describe your living arrangements. Do you own or rent?

House: / Apartment: / Own:
Condo: / Other: / Rent:

**If you rent, please include a copy of your pet clause in your lease demonstrating 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.**

Do you have a fenced in yard? / Yes / No

If yes, what type of fence and how high is it?

If no, do you plan on putting a fence up? / Yes / No
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-in yard, are you willing to exercise him/her everyday under close supervision? / Yes / No

What sort of regular activities do you have planned?

A club representative may visit your home before you adopt a Weimaraner and during the adoption process. Is this acceptable to you? / Yes / No

Please describe all of the persons that live at this home, if any children list their ages and interests.

Have all members of your household agreed to the adoption? / Yes / No

Who will be primarily responsible for caring for the Weim?

You / Parent
Sibling / Spouse

Are you willing to educate your children in the humane care of animals?

Yes / No
I do not have children
Are you sure no one in your household is allergic to dogs? / Yes / No

Even if the Weimaraner had 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 it may require training. Would you be willing to work with your Weim?

Yes / No
Will you be willing to train the Weim including obedience classes? / Yes / No
Dogs may become destructive when left alone, but there are ways to train them not to chew or mess in the house alone. Are you willing to take the time and effort to train your Weim? / Yes / No
Are you willing to try using a pen, crate or finding some other means to solve any such problems? / Yes / No
Do you understand that the Weimaraner is an inside dog? / Yes / No

Where will the Weim stay during the day?

Where will the Weim stay during the night?

Where will the Weim stay during family vacations?

Do you understand that there are no guarantees as to the condition, health, behavior or personality of the Weimaraner? / Yes / No
Do you understand that the committee or club makes no representations as to the condition, health, behavior, or personality of the Weimaraner? / Yes / No

What hours are you and your family normally out during the week for work, etc?

It is very important that no one adopt a Weimaraner on an impulse. Have you given this adoption adequate thought? / Yes / No

Please give a personal reference we may contact. We would prefer the reference not be a relative.

Name: / Phone: / ()-

**Please contact your personal reference to notify them that one of our volunteers will be contacting them**

Our rescue agreement will require you to take responsibility for the Weimaraner for its entire life. In the event that it is not possible or you can no longer care for it you must agree to return it to LWR.
Is this acceptable? / Yes / No
Have you taken the “Are you Ready?” / “Are you Ready for a Weimaraner” quiz on our website? It is located under the
Quick Links tab. / Yes / No
Did you get all the way through the quiz and agree with all of the questions? / Yes / No
Signature: / Date:

Office Use Only:

Reference Checks Completed:

Yes / No / Date:

Home Visit Completed:

Yes / No / Date:
By Whom:

Revised 23 May 2012