LOUISVILLE WEIMARANER RESCUE, INC.

We welcome and appreciate your interest in providing a good home for a Weimaraner. Please understand that your completion of this application does not guarantee that a suitable Weimaraner will be found for you. Please also understand that applicants are not placed on a waiting list in the order of the date of application. Rather, in each case of selecting a home for a Weimaraner, all applications will be considered equally. We do this in order to attempt to select the most suitable home for that Weimaraner in light of its health, personality, behavior and other factors. We attempt to select the most suitable Weimaraner for the home in light of the answers you have given below, the outcome of the personal phone interviews, the in- person meetings with the Weim(s), and the outcome of the required home visit and reference checks.

Once we have received your completed application, we will call you to tell you more about our program, talk about your family and activities, and discuss the Weimaraners we may have in our program that match with you and your family. Please remember that we are all volunteers with LWR. We all have jobs, our own households, other responsibilities, and children (four- and two-legged) to take care of. It may be up to a week before we are able to give you a call to talk about Weimaraners. We ask that you be patient.

In the event that a Weimaraner was to be considered for adoption by you, there would be a written agreement between you and LWR. In the written agreement, among other things, you would make certain agreements regarding your care of a Weimaraner. You would agree that the Weimaraner would be returned to LWR if you do not abide by the agreements or if you could no longer take care of the Weimaraner at any time in the future.

Please understand that, while LWR will have had the Weimaraner examined by a veterinarian, LWR cannot make any guarantees regarding the health or physical condition of the Weimaraner. Understand too that all expenses after the adoption (including veterinary expenses) relating to the Weimaraner would be your responsibility.

The Weimaraner will be spayed or neutered if over 6-9 months of age before you adopt it. There will also be an adoption fee from you to LWR to defray expenses relating to rescue efforts prior to your adoption. This does include the Weim will be current on his/her shots (puppies may not be old enough to receive a rabies vaccination prior to adoption), veterinarian checked, started on heartworm preventative, and micro-chipped. Unspayed or unneutered puppies are an additional $100 at the time of adoption. This $100 is refunded upon proof of surgery sent to Denise King by the puppy's age of 9 months.

Adoption Fees: 11 months and under: $375.00 12 months – 6 years: $300.00 7+ years: $175.00

The Louisville Weimaraner Rescue, Inc. would appreciate it if, after you complete this application for adoption and while awaiting a Weimaraner, you would notify LWR if you get another dog. Also let us know if you decide that you no longer wish to adopt a Weimaraner.

For more information, please contact an Adoption Coordinator listed below. For more information on the Weimaraner breed, go to www.theweimaraner.com and www.justweimaraners.com

Please return your completed application to both Denise and Jackie:

Denise A. King Jackie Pondy 16810 Hwy 62 4305 Arlington Circle Charlestown IN 47111 Indianapolis IN 46237-9214 812-256-3967/FAX 812-256-0249 317-784-5574 [email protected] [email protected]

Revised 1/2015 LOUISVILLE WEIMARANER RESCUE, INC. Adoption Application

The following information will help assist Louisville Weimaraner Rescue, Inc. in attempting to select a suitable Weimaraner for you and your family to consider for adoption. This information will be helpful in determining that a proposed adoption is in the best interests of the Weimaraner, you, and your family. Please use as much space as you need to answer the questions in detail.

Name: Date: Address: City: State: Zip Code: County: Home: ( ) - E-Mail: Work: ( ) - Referred By: Cell: ( ) - Your Occupation:

Why do you want to adopt a Weimaraner as opposed to a different breed or mix?

Do you have any preference concerning age or Age: Yes Sex: Yes sex? No No Please explain your concerns and the oldest you will adopt.

What Weimaraner currently in our program are you interested in?

Do you have a preference to the Weimaraner being “blue” in Yes No color?

Have you owned a dog before? Yes No

If yes, please describe each dog and how long you owned it. If you no longer own the dog, describe what happened to it.

Do you have any other pets? Yes No

If yes, please describe each pet. Type, Age, Sex and is the animal spayed or neutered?

Revised 1/2015 Are all of these pets friendly toward dogs? Yes No

If the adoptive dog and the other pets do not initially get along Yes No are you willing to find ways to solve it?

Do you have a Veterinarian, or have you had one in the past for Yes No your animals?

May we contact them? Yes No

Name: Address: State: City: Zip Code: Phone: ( ) -

**Before submitting your application, please contact your Vet’s office to give us permission for them to release information to us regarding our pet(s). Recently we have encountered that Vet’s offices will not give out any information until the client has given permission. Please provide the name of the person you spoke with at your Vet’s office.**

Name:

Do you keep up on needed vaccinations on all pets? Yes No Do you give monthly heart worm preventative on your dog(s)? Yes No

Describe your living arrangements: Do you own or rent? House: Apartment: Own: Condo: Other: Rent:

**If you rent, please include a copy of your pet clause in your lease demonstrating you can have a Weimaraner at your residence. A letter signed by your landlord or management company on letterhead that you have permission to have a Weimaraner will also be accepted. We will not consider you for adoption until we have received this.**

Do you have a fenced in yard? Yes No

If yes, what type of fence and how high is it?

Yes No If no, do you plan on putting a fence up?

Dogs may run off and/or roam if given a chance. Weimaraners Yes No are a hunting breed and need a lot of exercise. If you do not have a fenced-in yard, are you willing to exercise him/her every day under close supervision?

What sort of regular activities do you have planned?

Revised 1/2015 A club representative will visit your home before you adopt a Yes No Weimaraner. Is this acceptable to you?

Please describe all of the persons that live at this home; if any children, list their ages and interests.

Have all members of your household agreed to the adoption? Yes No

Who will be primarily responsible for caring for the Weim? You Parent Sibling Spouse

Are you willing to educate your children in the humane care of animals? Yes No I do not have children

Are you sure no one in your household is allergic to dogs? Yes No

Even if the Weimaraner had been previously house-trained, you should expect that it would not be house- trained at first in a new home. This may be temporary or it may require training. Would you be willing to work with your Weim? Yes No

Will you be willing to train the Weim including obedience Yes No classes? Please explain any training classes previously taken.

Dogs may become destructive when left alone, but there are Yes No ways to train them not to chew or mess in the house alone. Are you willing to take the time and effort to train your Weim?

Are you willing to try using a pen, crate or finding some other Yes No means to solve any such problems?

Do you understand that the Weimaraner is an inside dog? Yes No

Where will the Weim stay during the day?

Revised 1/2015 Where will the Weim stay during the night?

Where will the Weim stay during family vacations?

Do you understand that there are no guarantees as to the Yes No condition, health, behavior or personality of the Weimaraner?

Do you understand that the committee or club makes no Yes No representations as to the condition, health, behavior, or personality of the Weimaraner?

What hours are you and your family normally out during the week for work, etc?

It is very important that no one adopt a Weimaraner on an Yes No impulse. Have you given this adoption adequate thought?

Please give a personal reference we may contact. We would prefer the reference not be a relative. Name: Phone: ( ) -

**Please contact your personal reference to notify them that one of our volunteers will be contacting them**

Our rescue agreement will require you to take responsibility for Yes No the Weimaraner for its entire life. In the event that it is not possible or you can no longer care for it you must agree to return it to LWR. Is this acceptable?

Have you taken the “Are You Weim Ready?” quiz: Yes No http://theweimaraner.wordpress.com/weimaraner-quiz/

Did you get all the way through the quiz and agree with all of Yes No the questions? Please discuss any concerns with us.

Signature: Date:

Office Use Only: Reference Checks Completed: Yes No Date: Home Visit Completed: Yes No Date: By Whom:

Revised 1/2015