Contact Information

Name*

Street address*

City*

Province *

Postal code*

Home telephone number*

Cell or work number*

Email*

When is the best time to phone you?*

Weimaraner's name:*

How old is your Weimaraner?*

Please include date of birth, or if unknown, approximate age:*

Is the Weimaraner a male or female:*
MaleFemale

Is the Weimaraner purebred?*
YesNo

Where did the Weimaraner come from originally?*

Please include the breeder's name and/or town if known.

How long have you had the Weimaraner?*

Please explain fully your reason for giving the Weimaraner up.*

Please describe your Weimaraner's physical characteristics (e.g. weight, colouring, etc.).*

Is the Weimaraner spayed/neutered?*
YesNo

When was your Weimaraner last vaccinated?*

Is your Weimaraner micro chipped?*

Micro chip number*

What is the Weimaraner's health status now?*

Has the Weimaraner had any health problems in the past?*

If so, please explain.

Do vet records exist for your Weimaraner?*
YesNo

Please provide the name and phone number of the veterinary clinic that has cared for your Weimaraner.*

Is the Weimaraner housetrained? And how does he/she ask to go out?*
YesNo

Is the Weimaraner cratetrained? *
YesNo

Is the Weimaraner an excessive barker?*
YesNo

How long is the Weimaraner used to being left alone?*

Does your Weimaraner currently live with other animals? If so please list all:*
YesNo

How is the Weimaraner with grooming (nail trimming, ear cleaning, bathing, etc.)?*

What does your Weimaraner currently eat, and how much and how often is he/she fed?*

How does your Weimaraner react to new people?*

Has your Weimaraner had exposure to children? Please explain fully (e.g. lives with, interacts regularly, interacts infrequently, etc.).*
YesNo

Is your Weimaraner good with other dogs? Please explain if necessary.*
YesNo

Is your Weimaraner good with cats? Please explain if necessary.*
YesNo

Is the Weimaraner good in the car? Please explain if necessary.*
YesNo

Has the Weimaraner ever shown any signs of aggression (e.g. bite, snap, nip, growl, show teeth, etc.)? If so, what were the circumstances? Please explain fully.*
YesNo

Does the Weimaraner have any issues, fears, etc we should know about? Please explain.*

Please add any comments regarding your Weimaraner (e.g. likes/dislikes, routines, etc.).*

How far are you willing/able to travel to assist in getting your Weimaraners to one of our volunteers?*

Are you willing/able to pay a voluntary relinquishment fee of $250 to Ontario Weimaraner Rescue and Assistance to help cover expenses of placing your Weimaraner (e.g. veterinary and foster care costs, etc.)? *
YesNo