Atlanta Weimaraner Club Rescue
Adoption Application
Name
Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
Email
How did you hear about Atlanta Weimaraner Club Rescue?
Why do you especially want to adopt a Weimaraner?
Do you have any preference concerning age or sex and why?
How many other pets are currently living in your home?
Name of Pet
Type
Age
Sex
Spayed/Neutered?
Breed
Dog
Cat
Bird
Rabbit
Other
Female
Male
Item 4
Yes
No
Age
Sex
Spayed/Neutered?
Yes
No
Name of Pet
Type
Breed
Dog
Cat
Bird
Rabbit
Other
Female
Male
Item 4
Spayed/Neutered?
Name of Pet
Type
Age
Sex
Breed
Dog
Cat
Bird
Rabbit
Other
Female
Male
Item 4
Yes
No
Type
Age
Sex
Spayed/Neutered?
Name of Pet
Breed
Female
Male
Item 4
Yes
No
Dog
Cat
Bird
Rabbit
Other
Sex
Spayed/Neutered?
Name of Pet
Type
Age
Breed
Yes
No
Dog
Cat
Bird
Rabbit
Other
Female
Male
Item 4
Name of Pet
Type
Age
Sex
Spayed/Neutered?
Breed
Dog
Cat
Bird
Rabbit
Other
Female
Male
Item 4
Yes
No
Are your pets on heartworm preventative?
If Yes, what type?
Yes
No
What other pets have you had in the last five years (not listed above) and where are they now?
How many children are in your household?
What are their ages?
How many adults are in your household?
What hours are they at home?
What hours will the dog stay alone?
Where will the dog stay when no one is home?
Please note that we require that all of our dogs to be maintained as INDOOR DOGS
Where will the dog stay during the day and night?
Where will the dog stay if the family is out of town?
Describe the are where you live:
Do you own your home or rent?
City
Suburban
Rural
Own
Rent
Is there anyone in your home who smokes?
Yes
No
If you rent, do you have written permission from your landlord to keep a large dog?
Yes
No
How high is your fence at the lowest part?
Do you have a fenced in yard?
Yes
No
Describe your fencing and gates:
For the safety of your Weimaraner, will you promise to keep your gates locked?
Yes
No
During the adoption process, would you allow a Rescue Volunteer to visit your home?
Yes
No
For what purpose(s) do you want to adopt a Weimaraner?
Hunting
Obedience
Show
Breeding
Family Pet
Personal Companion
Security
Other
(Please explain)
Under what circumstances would you find it necessary to get rid of your dog?
(Please explain)
Do you agree to notify Atlanta Weimaraner Club Rescue if you cannot keep your Weimaraner?
Yes
No
As part of our legal binding adoption agreement, your Weimaraner must be returned to Weimaraner Rescue if you no longer want or are able to care for it
Please list the employers and occupations of the members of your household
Vet's Phone Number
What is the name of your veterinarian?
Volunteer Opportunities:
Are you interested in volunteer opportunities with Atlanta Weimaraner Club Rescue?
Yes
No
If yes, what type of volunteer activities would you be interested in?
Fostering a Weim
Transport
Phone Interviews for Applicants
Petsmart Adoption Days
Fundraising
Moving
Marriage
New Baby
Divorce
Schedule Change
Illness
Other
Other
(Please explain)
Adoption Fees:
$175 – Adult Dogs (7+ years)
$275 – Adult Dogs (1-7 years)
$375 – Puppies less than 1 year (foster to adopt with Spay/Neuter contract required)
Additional funds are raised through fund raising events and donations. Atlanta Weimaraner Club Rescue is a non-profit, ALL VOLUNTEER organization. We gratefully accept donations of any amount. Every penny goes to help our beautiful gray and blue friends. Thank you for caring!!
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