Southern California Vizsla Rescue
Home | About Us | The Vizsla | Adoption Process | Relinquishing a Vizsla | Volunteer | Donate | Contact | Links
 
  Southern California Vizsla Rescue - Adoption Form    
     
 

Please read through the form and get all of the necessary information ready for you to fill out completely.

At the end, make sure to press the correct image (stated in the text instructions above the images) to securely submit the form.

  
       
 
 
   
  Your Name   Your Age  
     
  Address  
   
 
City Zip Code Email
 
 
 
 
Home # Cell # Work #
 
 
 
  How often is Email checked?   Best time to reach you?  
  Throughout the day
Once daily
Weekly		   Morning
Afternoon
Evening
Weekend		  
  Best place to contact you   Best time to contact you  
  Home
Work
Cell		   Morning
Afternoon
Evening
Weekend 		 
  Other adults in household   Children in household  
Name Age
Name Age
Occupation
Name Age
Name Age
Occupation
Name Age
Name Age
Occupation
  Do you have any allergies? Yes No  
   
     
   
  Current pets      
Pet One - Name Age Breed
 
 
Pet Two - Name Age Breed
 
 
Pet Three - Name Age Breed
 
 
  Other pets in 5 years? Yes No  
  Past animals      
Past Animal One - Name Age Breed
 
 
  Where are they now?  
   
Past Animal Two - Name Age Breed
 
 
  Where are they now?  
   
Past Animal Three - Name Age Breed
 
 
  Where are they now?  
   
  Do you have cats? Yes No   Cats get along with dogs? Yes No  
     
   
  Why do you want a rescue vizsla?  
   
  Have you owned a vizsla before? Yes No  
 
Preferred sex wanted Preferred age desired Willing to have a mixed vizsla?
 
 
M F Flexible Flexible Yes No
 
  Preferred temperament  
   
  Other qualities you are seeking  
   
  What appeals to you about Vizslas?  
   
  Is everyone in accord with getting a Vizsla? Yes No  
  What will be your relationship to the new Vizsla?  
   
  Who is responsible for care?   How will Vizsla be exercised?  
     
  Expectations or concerns  
   
  Please describe your experience with Vizslas  
   
 

Sometimes Vizslas come through rescue that display behavior which is not considered acceptable such as fear, aggression, poor housebreaking, overly clinging or distant.  This is usually because of a lack of proper socialization or training in the former household.
What knowledge or experience can you bring to the Vizsla to provide training, understanding and love to promote a stable life for the Vizsla?

  
   
     
   
  Training thoughts  
   
  Thoughts on behavioral issues  
   
  What is your knowledge of the breed?  
   
  What about a visit with Vizsla?  
   
     
   
  Type of housing   Type of neighborhood you live in?  
  Own House Own Condo
Rent House Rent Apartment		   Urban Sub-Urban
Rural Other 		 
  How long at your present address? Months Years  
  Do you have a fenced yard?   Fence height  
  Yes No    
  Description of fence  
   
  Is there a dog kennel? Yes No   Is there a pool? Yes No  
     
   
  How many hours a day will your dog be alone?   Where will the dog be when you are home?  
     
  Where will the dog be when you are gone?     Where is the dog when you are on vacation?  
     
  Where is the dog when you run errands?   Where will your dog sleep?  
     
  Will the dog live inside or outside? Inside Outside  
     
   
  Describe a typical weekday  
   
  Describe a typical weekend  
   
  Changes expected in 1 year   Changes expected in 5 years  
     
     
   
  May we share your application with other rescue groups? Yes No  
  Who referred you?  
   
  Vet info  
   
  Reference One   Reference Two  
Name Name
Relationship Relationship
     
Phone # Phone #
     
  Additional Information that you would like us to know  
   
 

 
Thank you for your interest.
 
 
 
 
MeetUp Facebook

HOME | ABOUT US | THE VIZSLAS | ADOPTION PROCESS | AVAILABLE ADOPTIONS

RELINQUISHING A VIZSLA | VOLUNTEER | DONATE | CONTACT | LINKS

© 2011 San Diego Web Design www.a-7-d.com