Midwest Vizsla Rescue
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Adoption Application
Owner Surrender Application
Available for Adoption
Midwest Vizsla Rescue Adoption Application
Vizslas adopted are neutered/spayed
before placement
. The requested adoption donation for all Vizslas placed is $375, though some may be higher depending on circumstances. We accept more to cover food, medical expenses, gas etc… Our love for the Vizsla is free. Please call us with any questions you might have -
now or in the future
.
I understand that Midwest Vizsla Rescue is not responsible for the transportation of the dog to it's new forever home.
*
YES
I understand that the adoption donation fee to Midwest Vizsla Rescue is $375.
*
YES
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Phone Number
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-
-
Email
*
WHY do you want a RESCUE VIZSLA?
*
Have You Owned A Vizsla Before?
*
Yes
No
Do You Have One Now?
*
Yes
No
Sex Of Dog Wanted
*
Male
Female
No Preference
Age Preference
*
1-4 years
5-8 years
9 or Older
Where Will Dog Live?
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Do You Have A Fenced Yard
*
Yes, 4ft
Yes, 5ft
Yes, 6ft
No Fence
Is Fence Wood, Chain Link or other?
*
Ages Of Children Living In Your Home
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List All Other Animals Living In Your Home (Age, Sex, Altered)
*
Vizslas Are High Energy Dogs. How Will You Provide Exercise?
*
How Many Hours Per Day Will The Dog Be Alone?
*
Anticipated Changes Within The Next Year (Baby, Grandkids, Moving, etc.)
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Do You Own Your Home or Rent
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Own
Rent
RESCUES CAN DISPLAY BEHAVIOR THAT MANY FIND UNACCEPTABLE - FEAR, AGGRESSION, POOR HOUSEBREAKING, OVERLY CLINGY, ETC...WHAT KNOWLEDGE DO YOU BRING TO PROVIDE TRAINING, UNDERSTANDING AND LOVE TO PROVIDE A STABLE LIFE FOR THE LIFE OF THE VIZSLA?
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Qualities You Are Looking For In A Vizsla
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NAME OF 3 REFERENCES & PHONE NUMBERS - 1 BEING A VETERINARIAN:
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WILL YOU COMMIT TO OBEDIENCE CLASSES FOR DOG AND FAMILY?
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YES
NO
WOULD YOU BE INTERESTED IN A MIXED VIZSLA?
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YES
NO
DESCRIBE YOUR SCHEDULE ON WEEKDAYS AND WEEKENDS
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WHAT HAPPENS TO YOUR PETS DURING VACATION?
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WE DO NOT FLY DOGS! HOW WILL YOU ARRANGE TRANSPORT FROM US TO YOU?
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HOW DID YOU FIND MIDWEST VIZSLA RESCUE?
*
Once you hit the SUBMIT button you should see a message that your application has been received. If you do not, please review your application looking for red highlighted areas not filled out. Thank you for your interest in our VIZSLAS! They are great dogs who deserve loving homes. If you do not hear from us~please keep in touch and check our website! Some months we are full. Other months we have no dogs to place...and we are grateful.
Submit