Michigan Weimaraner Adoption Application

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Please note: all fields required. If the question doesn't apply, please mark N/A.

Name:                      

Address:                   

City:                      

State:                     

Zip:                       

Telephone:                 

E-mail:                    

How did you hear about Michigan Weimaraner Rescue?

1:                         
    

Why do you especially want to own a Weimaraner?

2:                         

PRE>
    

Do you have any preference about the dog's age or sex?

Yes
No

Preferences:               

What other pets do you have now? Please list their age, species, sex, and spay/neuter status:

4:                         

What pets have you had in the last five years?

5a:                        

What happened to them?

5b:                        

How many children are in the household and what are their ages?

6:                         

How many people are in the household, and what hours are they at home?

7:                         

Describe the area in which you live (city, rural, suburban, etc.)

8:                         

What type of housing do you live in?

Own home
Rent home
Apartment
Condominium/Townhouse
Mobile home

Do you have a fenced yard?

Yes
No

If yes, how high is the fence?

10a:                       

Where will the dog stay
**********************************************

during the day?:           

at night?:                 

during family vacations?:  

For what purpose do you want a Weimaraner?

Pet
Hunting
Obedience
Agility
Show
Breeding
Multiple items may be chosen.

Do you promise to notify Michigan Weimaraner Rescue if you cannot keep your Weimaraner?

Yes
No

Are you willing to take your dog to obedience classes?

Yes
No

If no, why not?:           

Occupation:                

What is the name and telephone number of your veterinarian?

16:                        

May we call your vet for a reference?

Yes
No

Do you want to receive a collect call advising you of the receipt of your application?

Yes
No

Comments:

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Email Michigan Weimaraner Rescue: ccweim@juno.com


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