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.

*** Please indicate  "Rescue Application" in the subject of your email when sending an application.

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 ( Yes / No )
or            
Adults Only            ( Yes / No )


Other Pets: 
Dogs   ( Yes / No )
Cats   ( Yes / No ) 
Other  ( Yes / No )
None   ( Yes / No )


Daily Routine
Dog is normally: Alone during the day / Someone home during the day
When left alone, dog is normally:  
Crated              ( Yes / No )
Kennelled           ( Yes / No )   
Loose in the house  ( Yes / No ) 
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 ( Yes / No )
 
Registration:      
CKC ( Yes / No )                        
AKC ( Yes / No )                          
Other  ( Yes / No )                  
None   ( Yes / No )
        
Identification:     
Tattoo    ( Yes / No )                
Microchip ( Yes / No )                   
Other     ( Yes / No )                 
None      ( Yes / No )
        
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  ( Yes / No )           
Down ( Yes / No )          
Stay ( Yes / No )              
Come ( Yes / No )  
or     
No formal commands taught               

2.  Walks calmly on leash       ( Yes / No )
    Difficult to walk on leash  ( Yes / No )             

3.  Good house manners             ( Yes / No )
    Destructive behaviour in house ( Yes / No )               

4.  Displays good watchdog behaviour (barks) ( Yes / No )                      
     Shows aggression (growling, threatening behaviour) to strangers ( Yes / No )
     to family members (( Yes / No )       

5.  Dog has
    Never bitten anyone             ( Yes / No )
    Has bitten when provoked        ( Yes / No )
    Has bitten without provocation  ( Yes / No )      

6.  Dog can be trusted off leash ( Yes / No )
    Runs away when off leash     ( Yes / No )          

7.  Dog is good with children      ( Yes / No )
    Can't be trusted with children ( Yes / No )
    or Unknown           

8.  Dog is reliably house-trained ( Yes / No )
    Is not housetrained           ( Yes / No )             

Other Comments & Concerns:



Please send your application  to :
rescue at weimaranercanada dot org