We strive to contact applicants within 48 hours of the enrolment being submitted.

If you do not hear from us within this timeframe, please contact the National Coordinator at rescue@wacrescue.com.

Many of the questions must be answered. In an effort to make the process easier, some fields have been filled in with default answers. If the question applies to you, select the text that is in the field and type in your answer. If an answer is blank, the form will not submit. If that question does not apply to you, enter “NA”. Thank you for taking the time to complete this application.

Please be as detailed as possible in your answers as this helps the coordinators find the best possible home four your Weimaraner.

Enrolment - Alberta/Prairies

Contact Information

Name *

Owner's Name or Humane Society (or other group) involved.

Street (no PO Box # please) *

City *

Province *

Postal Code *

Email *

Main Phone *

Format: 999-999-9999

Alternate Phone

Current Home Situation

Please fill out this section. The more detailed the information you provide, the easier it is for the Coordinators to match up your dog with a new family.

Family Unit: *

If there are children in the home, please indicate their ages: *

Not Applicable

Less than 2 years

Between 2 and 6 years

Between 6 and 12 years

Over 12 years

You can make multiple selections.

If there are other pets in the home, please indicate them: *

None

Dog

Cat

Other

You can make multiple selections.

Please provide any comments regarding your current home situation. *

Breeder Information

Please provide the Breeder or Kennel name, phone number and/or email, if known.

If you don’t have the breeder information, enter “Don’t know” in the Name section and “999-999-9999” in the phone number section.

Breeder Name *

Breeder Phone Number *

Breeder Email

Has the Breeder been contacted? *

In many instances, the breeder wants to know if you have to re-home their dog and will either find a home for you or help you with the re-homing.

Veterinarian Information

Please provide your Veterinarian or Vet Clinic's name, phone number and/or email.

Vet Clinic Name *

Phone *

Is your vet aware that you are planning to rehome your dog? *

Have you given your vet authorization to release information to a WAC volunteer? *

If you have not given this permission to your vet, please let them know that a volunteer may be contacting them and that you authorize the release of your dog's information and medical history.

Your Dog

Dog's Name *

Is your dog a purebred Weimaraner? *

Please note that WAC Rescue cannot take on dogs that are mixed breeds. However we can put you in touch with those groups that can.

Dog's Age or Birthdate *

If you aren't sure of your dog's age, please give an approximate age.

Sex: *

Registration: *

Identification: *

None

Tattoo

Microchip

Other

You may make multiple selections.

If your dog has a tattoo or microchip #, please provide the information below: *

If your dog has been to obedience class, please provide some more information about the classes taken and when. *

Medical Profile

Please list the brand of heartworm medication, if using. *

Please provide the date of your dog's last inoculations (shots). *

You can enter a rough time frame but this information will need to be confirmed with your vet.

Please list the present medications your dog is taking and what they are for. *

Please describe any current acute illnesses your dog is suffering from. *

Please describe any chronic illnesses your dog has or injuries your dog may currently have or had in the past. *

Try to be as thorough as possible and include dates or time frames such as winter 2011 or summer 2012.

Routine

Your dog is usually: *

When left alone, your dog is normally: *

Restrictions, in this case, could mean your dog has access to just one room.

If "Other" is selected for the previous question, please explain: *

Basic Temperament

Is your dog: *

Please provide more details about your dog's activity level: *

Please provide more details about what your dog likes to do and what your dog doesn't like to do. *

Behaviour Profile

Your dog knows: *

No formal commands

Basic commands (sit/down/stay/come)

Advanced commands or tricks

Other

You can make multiple selections.

On leash, your dog: *

In the house, your dog: *

Please provide more information about your dog's behaviour as it relates to the previous 3 questions. *

When meeting people, your dog: *

If your dog is aggressive or his reaction varies, please provide more information. *

In the house, your dog: *

If your dog has accidents in the house, please provide more information. *

When off leash, your dog: *

If your dog runs away when off leash, please provide more information. *

For example, does your dog only run away if an animal such as a cat or a wild animal crosses his path?

With children, your dog: *

If your dog can't be trusted with children, please explain why. *

With other dogs, your dog: *

If your dog is not friendly with other dogs, or only certain types of dogs, please explain in more detail. *

For example, is your dog only unfriendly when on the leash? Is he only friendly with small dogs, or a specific breed of dog, etc.

Your dog: *

Please provide more detail, if necessary. *

For example, my dog is very respectful of the cat he lives with but if he sees a cat or rabbit outside, he'll try to chase it.

Your dog: *

If your dog has ever bitten another animal, with or without provocation, please explain in detail. *

Your dog: *

If your dog has ever bitten a person, with or without provocation, please explain in detail. *

General

How long are you willing to look after your dog while we find the best-matched home? *

Why are you considering giving up this dog? *

What kind of home do you think your dog needs? *

Please note any comments or concerns you have about surrendering your dog. *

Closing Questions

How did you find out about us? *

Do we have your permission to release the information in this application to other Weimaraner Rescue groups in our efforts to find the best home for your dog? *

Are you willing to assist with transportation expenses if the best home is not close to you? *

Captcha *

Before proceeding, we need to make sure a real person is submitting this form. Thank you for your understanding.

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Submit Instructions

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Enrolment Application Alberta/Prairies

Enrolment - Alberta/Prairies

Contact Information

Current Home Situation

Breeder Information

Veterinarian Information

Your Dog

Medical Profile

Routine

Basic Temperament

Behaviour Profile

General

Closing Questions

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