Florida Weimaraner Rescue, Inc.

Your Name

Your Age

Spouse/Roomate Name

Spouse/Roomate Age

Your Complete Physical Address - Where dog will be

Your Physical City, State and Zipcode

Your Complete Mailing Address if different than above

Your Mailing City, State and Zipcode

Your Email address

Your Contact Phone # home and cell

How did you hear about Florida Weimaraner Rescue, Inc., a 501c3 not for profit charity?

Why especially do you want a Weimaraner?

What research have you done on the breed?

What would you like in a Weim – sex, age, color?

Do you have any children? If so, how many children ages and boys/girls?

Do you currently have pets? If so, list breed, age, sex and temperament (alpha or submissive).

Are these pets on heartworm prevention? If so, what brand – Heartgard/Interceptor?

Who is your current veterinarian?

What pets have you owned in the past 5 years and where are they now?

Is your yard fenced? If so, what type and what is the height at the lowest point?

How big is your yard?

Will your gates be locked to protect your Weim?

Where do you live – city, suburb, rural?

Do you rent? If so, please provide name and phone number of landlord.

What will your Weim be used for? Pet/Agility/Hunting/Breeding, etc.

Would you ever give up your Weim? If so, why?

Do you promise to return your Weim to rescue?

How many adults are in your house on a daily basis?

What hours would the Weim be alone?

Where would the Weim stay when no one is home?

Where would the Weim stay when someone is home?

Where will the Weim stay when the family is out of town?

Do you crate your pets?

How will you/your family spend time with the Weim?

Would you be willing to take your Weim to obedience classes? If no, why?