Name
*
First Name
Last Name
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
When is the best time to reach you? Days or evenings? Weekdays or weekends?
1. Tell us briefly why you want to adopt a Vizsla from our network.
2. Have you ever owned a Vizsla?
Yes
No
If yes, does that Vizsla still live with you? If no, why not?
3. Do you currently live with one or more Vizslas?
Yes
No
4. Are there other pets living in the home?
Yes
No
If yes, list and briefly describe the other pets currently living in the home. For all dogs, note their breed, age, sex, and if they are altered.
5. List and briefly describe additional pets (if any) who have lived in the home in the past five years, but are no longer with you and why.
6. Are there children in the home?
Yes
No
If there are children in the home, what are their ages?
7. Are there other adults in the home?
Yes
No
If there are other adults in the home, are they in accord with this adoption?
Yes
No
In Process
8. Do you rent or own your home?
Rent
Own
If you rent, do you have permission from the landlord to own a dog?
Yes
Not yet, but approval is expected
No
9. Do you have a fenced-in yard?
Yes
No
If you answered yes to having a fenced-in yard, how tall is the fence?
10. How many hours on a typical day will the dog be alone?
0 - 4 hours
4 - 8 hours
More than 8 hours
It will vary
If the hours per day the dog will be alone will vary, briefly describe why.
11. Describe where the dog will stay while you are away from home for short and longer blocks of time.
12. The Vizsla is a high energy dog! Explain how you will provide exercise.
13. Describe where will the dog sleep at night.
14. Are you willing to adopt a Vizsla mix (non-purebred Vizsla)?
Yes
No
Unsure, but open to it.
15. Preferred sex of dog wanted
Female
Male
No preference
16. Preferred age of dog wanted (Check all that apply)
*
Under 1 year
1-3 years
3-7 years
Older than 7
No preferred age
17. Briefly describe what other qualities you are looking for in a rescue Vizsla.
18. Describe any knowledge or experience you have for the necessary training, consistency, understanding, and love that a Vizsla requires for a stable, healthy life.
19. Please provide the name of your veterinarian and/or veterinary clinic, and the phone and email contact.
20. Please provide two personal references, including their name, and a phone and email contact for each.
Thank you for your time and care in completing the application. Is there anything else you'd like us to know?