Application

Thanks for taking the first step in finding a badass home for a dog. Please complete the application below, and we will be in touch shortly!

Date

YYYY

APPLICANT INFORMATION

Name *

Name

First Name

Last Name

Email Address *

Age *

Phone *

Phone

(###)

###

####

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long at your current residence? *

Employment Status: *

How many adults live in your household?

What are their ages?

How many children live in your home? *

What are their ages? *

GENERAL INFORMATION

Does anyone living in the home have allergies to pets? If yes, please explain. *

Do you own or rent your home? *

Do you plan to move in the near future?

What type of home do you live in (house, apartment, etc.)? *

If a rental, are dogs allowed? Are there breed restrictions?

What are the size restrictions, if any?

Manager/Landlord name and phone number?

Describe your yard: *

Where will the dog live (not including walks & playtime)? *

Where will the dog spend nights? *

Do you have a securely fenced yard? If so, what kind? Please be detailed. *

Will you allow the dog to run loose? If yes, where? *

How many hours per day will the dog be alone? *

Where will the dog stay when left alone? *

In the absence of the primary caregiver, who will care for the dog? *

If for some reason you are not able to care for this pet in the upcoming future, what will you do with this adopted dog? *

Have you ever had to return or surrender an animal in the past? If so, please list circumstances. *

Have you researched vizslas and GSPs you are interested in? Any prior experience? *

Are you willing and able to pay veterinary costs of caring for your new pet? *

If the dog is not house trained, how will you manage this? *

Would you consider obedience training if required or recommended? *

How much time are you prepared to allow for your new pet to adjust to your home? *

Will you be able and willing to regularly exercise this adopted dog? *

Please describe your method of exercise. *

PET INFORMATION

Please list current pets names, species and breed, age, sex, spayed/neutered, current on vaccines and if they are indoor or outdoor.

If you currently have dogs, are they on heartworm preventative year round? If no, please explain.

Please list past pets names, species and breed, age at time of separation, years owned, sex, spayed/neutered, current on vaccines and if they were indoor or outdoor.

If you had dogs, were they kept on heartworm preventative? If no, please explain.

Will your new dog be on heartworm prevention? *

Please list name and phone number of current vet. *

Do you consider your pets a part of the family? *

Are you aware that a dog is a large and lifelong commitment? *

Are you willing and able to take care of this pet for its natural lifetime? *

Name of dog you are interested in?