| To
submit an application, please complete the form below and
click Submit button. |
| Bold fields are
required |
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Name(s) of
Applicant(s): |
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Address: |
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City |
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State |
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Zip |
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Phone(s)
Day |
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Evening: |
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Email: |
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Your
occupation(s): |
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Why do want a rescue
WHV? |
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Have you considered purchasing a WHV
puppy from a breeder? |
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Have you made contact with breeders
or other rescue volunteers in search for a
WHV? |
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If yes, list names of people or organizations
you have already contacted: |
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Have you ever owned a Wirehaired
Vizsla? |
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If Yes, When? What happened to
him/her? |
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Who is this WHV
for? |
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Your
age(s): |
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Your and your spouse (partner's)
working hours? |
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Do you have children at
home? |
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If Yes, what are their ages? |
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If you have no children now, do you plan on
having any in the next 2-3 years? |
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Who will be responsible for the
WHV? |
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Describe your
housing: |
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If you rent, does your lease allow
pets? |
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Do you plan on moving
soon? |
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If Yes, When and where? |
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Do you intend to keep the dog
primarily indoors or out? |
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Please
elaborate: |
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Do you have a
yard? |
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Describe your
yard: |
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Is the dog to be fenced or let
loose? |
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Do you have a
fence? |
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If Yes, describe what type, the height and
gates: |
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Is the fence secure and solid? |
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Can children open the gates? |
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What types of improvements are
needed to provide a secure yard? |
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If so, are you willing & able to make the
improvements? When and how long will it take? |
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If you have a pool, is it
fenced? |
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If you have a dog run, is it
secure? |
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Have you checked the yard for
dangerous articles, plants or anything else the dog could use
to climb out? |
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Are you aware of any distractions
outside your yard that could plague your dog? (Such as
neighbor's dog, loose dogs on the street, mischievous
children, etc.) |
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Can strangers gain access to your
yard from the streets? |
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Does anyone in your household have
allergies to pets? |
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If Yes, please explain: |
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Do you have other pets
now? |
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If Yes, what kind and sex (and are they
spayed/neutered)? |
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Where did you get your pet(s)? |
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How long have you had him/her? Their
ages: |
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If you don't have a pet now, have you had a pet
before? |
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If Yes, What kind and sex? |
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How long did you have him/her? |
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What happened to him/her? |
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If you have or have had other animals, what have
been the complaints about them? |
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If you have other dogs, would you
consider them aggressive or submissive to people and other
animals? |
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If you have birds, rabbits, etc. are they well
protected from the dog? |
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Are you willing to take time, with
the acquisition of this breed of dog, to read and learn all
the facts about temperament,socialization, proper handling and
the time required to bring out the full potential of this
breed? |
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Have you discussed with your family
the pros and cons of owning a
WHV? |
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Have you asked yourself whether your
lifestyle is so busy that you might not have time or energy to
properly care for a WHV? |
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Is your lifestyle such that friends,
relatives and children gain admittance to your home, property
or car without supervision? |
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If you have children, are you willing to accept
that the dog may not like all of your children's
friends? |
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If you have children, are you
willing to accept the additional responsibility of a
WHV? |
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If you have children, are you
willing to teach them the proper way to care for and handle a
live animal? |
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Does everyone in your family want a
dog? |
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What other breeds have you been
contemplating and for what
reasons? |
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What is your family's overall
reaction to owning a dog? |
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Which members are enthusiastic?
Unenthusiastic? |
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What concerns have been voiced by
any family members? |
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Do you realize that a WHV live for
an average of 12-14 years and are you committed to this dog
for its entire remaining life? |
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Have you and your family carefully
considered how a WHV would fit into your
lifestyle? |
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Do you realize that socialization is
the key to developing a well-balanced
dog? |
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Do you realize that socialization
means taking your dog into crowded places and different
situations outside of home and having stranger(s) meet and pet
your dog? |
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Are you willing to spend this kind
of time? |
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Are you willing to attend obedience
classes to train the dog? |
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Which family members are willing to
assist with training? |
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What kind of
activities/work/behaviors do you expect from this
dog? |
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What would your response be if
he/she made a mistake? |
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How much time and effort do you want
to devote to his/her training? |
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What is your definition of
disciplining a dog? |
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What is your initial reaction to the
idea of disciplining your dog? |
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What are your training objectives
and methods? |
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Do you have a gender preference for
an adopted WHV? |
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If you have a preference, please explain
why: |
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What age range would you
consider? |
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Would you consider providing a home
to an older WHV? |
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Do you agree to return the dog to
WHVCA Rescue if you find you are no longer able to keep
it? |
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Are you willing to allow us to visit
your home? |
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How did you find out about WHV
Rescue? |
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Please list two references --
non-relatives, and your veterinarian. Please include phone
numbers. |
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Any questions, comments or
suggestions: |
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