Vizsla Club of America

VIZSLA CLUB OF AMERICA

RESCUE ADOPTION APPLICATION FORM

This questionnaire is prepared for your benefit. Please take the time to fill it out as completely as you can. All of the information that you provide us with will be kept in strict confidence and will help us better place the right dog with the right family. An improper placement, in which all the details are not known, can end tragically, usually for the dog. Completion and submittal does not, however, guarantee that you will be eligible to adopt a Vizsla. Since Rescue operates totally on donations and adoption fees (a 501c3 organization),there is an adoption fee of $275 for dogs up to age 8-10 $100 from 8-10 and beyond that just a happy re home! Thank you for your interest in adopting a Vizsla.

Name(s) of applicant(s):______Date:______

Address: ______

City / State / Zip: ______

Phone and email: ______

Occupation: ______

Why do you want a rescue Vizsla?______

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Have you ever owned a Vizsla? ______When: ______

What happened to him/her? ______

Who is this vizsla for? ______

Your age(s): (everyone in household):______

You and your spouse’s working hours: ______

How many children at home? ______Their age(s): ______

Who will be responsible for the vizsla? ______

Do you rent? ______Apartment ______Own a Home ______Are you moving? ______

If you rent, does your lease allow pets? ______

Do you have a regular yard? ______Acreage? ______How much? ______

Do you intend to keep the dog primarily indoors or out? Please elaborate: ______

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Do you have a fence? _____ Type? ______Height? ______

Is the fence secure and solid? ______What type of gates? ______

Can children open the gates? ______

What types of improvements are needed to provide a secure yard? ______

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Have you checked the yard for dangerous articles, plants or anything else that would harm the dog? ______

Does anyone in your household have allergies to pets? ______

Vizsla Rescue Application

Page two

Do you have other pets now? ______What kind and sex?______

Are they spayed/neutered? ______How long have you had him/her? ______

If you don't have a pet now, have you owned a pet before? ______What happened to him/her? ______

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If you have other dogs, would you consider them aggressive or submissive to people and other animals? ______

Elaborate: ______

If you have birds or rabbits are they well protected from the dog? ______

In preparation for acquiring this breed of dog, what research have you done? Please list resources: ______

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Have you discussed with your family the pros and cons of owning a Vizsla? ______

Have you asked yourself whether your lifestyle is so busy that you might not have the time or energy to properly care for a Vizsla? ______

What activities do you expect your dog to be a part of? ______

Under what circumstances will the dog need to be left behind? ______

What provisions would be made for his/her care in your absence? ______

If you have children, are you willing to accept the additional responsibility of a Vizsla?. ______

Are you willing to teach the children the proper way to handle a live animal? ______

Are you willing to accept that the dog may not like all of your children's friends? ______

Does everyone in your family want a dog? ______Are there any concerns that have been voiced by other family members? ______

Do you realize that a Vizsla lives for an average of 12 to 15 years and are you committed to this dog for it's entire

remaining life? ______

Are you Ready to enroll your dog in obedience classes? ______

What amount of time and effort do you want to devote to his or her training? ______

Do you prefer male or female Vizsla? ______And why? ______

Do you prefer a young dog or would you consider providing a home for an older Vizsla? ______

Vizsla Rescue Application

Page three

Do you understand that you have to return the dog to Vizsla Rescue if you are no longer to keep it? ______

Would you be willing to allow us to visit your home? ______

How did you find out about Vizsla Rescue?. ______

Comments or suggestions? ______

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REFERENCES: (List two personal references - NOT relatives, AND your veterinarian - include phone numbers)

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Date Application Completed

***************Please realize that rescue is not an exact science and is undertaken by volunteers. When a rescue dog is in a foster situation and is ready to transition to a potential forever home, there may not be a long time line available. Our goal is to get rescue dogs into good homes quickly; to minimize stress on the animal.
If you are not able to take on a dog at the time the dog is ready to transition to its forever home, Vizsla Rescue may need to move onto the next available home. Foster families are not kennels or long term solutions.

*****IT IS VERY IMPORTANT THAT YOU STAY IN TOUCH WITH US, AS IMPORTANT AS US KEEPING IN TOUCH WITH YOU. IF YOU SHOULD GET A DOG BEFORE WE FIND ONE FOR YOU, PLEASE LET US KNOW SO WE CAN REMOVE YOUR NAME(S) OFF THE ACTIVE LIST TO MAKE ROOM FOR SOMEONE ELSE!!

******PLEASE ALSO RETAIN A COPY OF YOUR APPLICATION IN CASE THERE IS A COMPUTER GLITCH IN THE RESCUE PROGRAM AND IT GETS MISPLACED.