Adoption Application Your pets (present or past) must be or have been current on vaccines, heartworm test and on monthly heartworm prevention. If your pets are not current, we will not continue to process your application. Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Do you have an age or sex preference?* Puppy 8 weeks to 6 months (someone must be home full time or part time) Young 6 months to 4 years MIddle aged 5-8 Senior 9+ Male Female Is there a specific dog you are interested in?*Why do you want to own a Weimaraner?*If you have other pets, please describe them. (Age, sex, personality, etc)*What pets have you had in the last 5 years? What happened to them (if they are no longer with you)?*Are your current pets spayed / neutered? Yes No What heartworm prevention and flea/tick prevention do you use? (If you pet is not current on a heartwrom test and prevention your application will not be considered until this is current and can be verified)*Describe the area in which the dog will live. (Rural, Neighborhood, Inside, Outside, etc)*Is your yard fenced?* 4 foot 5 foot 6 foot No Are you willing to take your dog to obedience classes?*YesNoWhere will the dog stay during the day? Night? Vacations?*If you rent, do you have permission from your landlord to have pets? If not please do so before completing the application.YesNoIf you rent, what is your landlords phone number?How many people live in the house where the dog will stay? (List ages of each)*What are the occupations of the working members of your household?Approximately how many hours a day will the dog be left alone?*What is your vets office name? Please provide vet that has current vetting. Must include phone number. Is the vetting under your name?*To Speed the approval process of your application please upload a current copy of your vet recordsAll dogs must be current on: Rabies Distemper Heartworm Test and Heartworm PreventativeBY AGREEING YOU DISPLAY THAT YOU FULLY UNDERSTAND AND AGREE TO THE COSTS, REQUIREMENTS AND BACKGROUND CHECKS TO BE COMPLETED BY WONDERWEIMSRESCUE.COM AND ITS STAFF. SELECT "I AGREE" AND SUBMIT FORM.* I Agree NameThis field is for validation purposes and should be left unchanged. Δ