Weimaraner Association of Canada - Rescue Application

This application should be filled out as completely as possible when a Weimaraner becomes available
for adoption.  We hope that this information will help us match this dog with the right person as quickly
as possible to maximize the chances of a happy ending.

A. Background Information
Date of Contact: 

Owner's Name or Humane Society Involved:
Address:
Telephone Number: 
How long are you willing to look after the dog until placed? 

Breeder Info (if available) 
  (Name, address, phone #)

Has the breeder been contacted? ( Yes / No )



Home situation
Family Unit:     Adult(s) with Children             Adults Only    

Other Pets: Dogs Cats Other  None


Daily Routine
Dog is normally: Alone during the day / Someone home during the day
When left alone, dog is normally:  Crated   Kennelled    Loose in the house   Other

Name & number of Normal Veterinarian: 
Name of Attending WAC Veterinarian (if different) 

Other Information: 

B. Information on the Dog
Dog's Name:
Sex: M / F   Spayed/Neutered 
Registration:      CKC                         AKC                           Other                    None        
Identification:     Tattoo                 Microchip                    Other                    None        
Basic Temperament/Energy Level:  Couch Potato                 Active         Hyperactive        


Medical Profile
Heartworm Medication: 
Date of last innoculation: 
Present Medications (ifany): 
Current Acute illnesses: 
Chronic illnesses/injuries: 

Behaviour Profile
1.  Knows basic Obedience commands:  Sit            Down            Stay               Come        
                           No formal commands taught               

2.  Walks calmly on leash                   Difficult to walk on leash               

3.  Good house manners                    Destructive behaviour in house               

4.  Displays good watchdog behaviour (barks)                      
     Shows aggression (growling, threatening behaviour) to strangers         to family members        

5.  Dog has
  Never bitten anyone             Has bitten when provoked         Has bitten without provocation        

6.  Dog can be trusted off leash                         Runs away when off leash               

7.  Dog is good with children               Can't be trusted with children             Unknown           

8.  Dog is reliably house-trained                        Is not housetrained               

Other Comments & Concerns:


Please send your application  to :
rescue at weimaranercanada dot org

OR

eFax at 1-208-379-3517