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Rescue application form, for people seeking help in placing their Weimaraners.
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This application can be either snail mailed (see address below) OR you can email us these questions & answers by doing the following: copy** the following text into your email program and answer as you go along.

**To copy the questions all you need to do is to select the text with your mouse -
(highlight the area you need to copy by clicking your left button and holding it down until
you've selected the whole area you need), then press the "ctrl+ c" keys to "copy" and
"ctrl+ v" to paste it back into your word processor or email document.

                                                                                                                
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 )
                                                                                                                
( Comments )
                                                                                                                
                                                                                                                
Home situation
Family Unit: Adult(s) with Children Adults Only
                                                                                                                
Other Pets: Dogs Cats Other None
                                                                                                                
( Other, Comments )
                                                                                                                
Daily Routine                                                                                                                
Dog is normally: Alone during the day Someone home during the day
When left alone, dog is normally: Crated Kenneled Loose in the house Other
                                                                                                                
Name & number of Normal Veterinarian
                                                                                                                
Name of Attending WAC Veterinarian (if different)
                                                                                                                
Other Information:
                                                                                                                
                                                                                                                 
                                                                                                                
                                                                                                                
B. Information of the Dog
Dog's Name:
Sex: M / F Spayed/Neutered: Yes / No
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 inoculation:
Present Medications (if any):
                                                                                                                
Current Acute illnesses:
                                                                                                                
Chronic illnesses/injuries:
                                                                                                                
                                                                                                                
Behavior 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 behavior in house
                                                                                                                
                                                                                                                
4. Displays good watchdog behavior (barks)
Shows aggression (growling, threatening behavior) 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 house trained
                                                                                                                
                                                                                                                
Other Comments & Concerns:
                                                                                                                
                                                                                                                

Copy** and email to:
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rescue at weimaranercanada dot org

 

 

  W.A.C. club at  weimaranercanada.org 
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Copyright � 1999-2007  Jagmar WebWorks
Weimaraner Association of Canada Rescue.
All rights reserved.
Revised: September 20, 2006.