Adopt

Application to Adopt a Vizsla

The information you provide will help us determine whether your home is suitable for a Vizsla and specifically for the Vizsla in question. A copy of this application is emailed back to the person whose email address has been supplied below. If you have any questions about our Rehoming / Rescue program, please email rescue@vsovizsla.org
Date of Application

MonthDayYear
Date
STOP & READ

Our preference is to adopt out the Vizslas in our rehoming within Ontario. That's not to say we won't consider out-of-province adoptions, but our preference is for local rehoming. Thanks for your understanding.
Name of Vizsla
I have read the description and writeup about Simba and acknowledge the known and unknown risks about potentially adopting him.

YesNo
Your Name*

First NameLast Name
E-mail*
example@example.com

Telephone*

	Telephone #
Home
Mobile
Work
Other

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am a member of the Vizsla Society of Ontario?*

YesNo
Tell us about yourself and your family
How many ADULTS (18 years of age or older) live in your home?*

1234 or more
Please describe briefly the adults living in your home, along with occupations, genders, and ages.
How many CHILDREN (under 18 years of age) live in your home?*

01234 or more

Who will be the principal caregiver / trainer for the dog?*

	Principal Caregiver
Name
Role/position in family
Over the age of 18?
Experienced dog owner?

Principal caregiver's current employment situation*

Works at home?Works outside the home?RetiredUnemployedStudentOther
Occupation of the principal dog caregiver?
On average, how many hours / day is the principal caregiver away from home?*

0 - 23 - 4 hr5 - 8 hr8+ hrOther
Home environment
Where is your home located?*

In the cityRural areaOther
Which best describes your home?*

Detached homeApartment / CondoSemi-detached / TownhomeOther
Do you own or rent?*

OwnRentOther

If you rent

	Renting
Are dogs allowed?
Size limit?
Number limit?
Pet deposit req'd?

Describe your outdoor environment*

No YardSmall YardLarge YardAcreageOther
What's the size of your acreage?
Fencing for dogs - we have*

Invisible fencingHard fencing (i.e,, wire, wood, brick, etc.)Fenced-in dog runsNo fencingOther
Please provide any other relevant information about your living arrangements/environment for us to consider.
Please provide any other relevant information about your living arrangements/environment for us to consider.
Dog-owning Experience
Do you currently have pets in your home?*

YesNo

Do you own / have you owned a Vizsla before?*

I own a Vizsla nowI don't own a Vizsla now but I have in the pastI have never owned a VizslaOther
Describe your Vizsla-owning experience; pls provide as much information as possible, including from whom / where you got your Vizslas.
Have you adopted a rescued or rehomed Vizsla or other breed before?*

YesNo
Tell us more about your experience rehoming/rescuing a dog before.

On average, how long will this rescued / rehomed dog be left alone during the day?*

	Left Alone
# of Hours / day
Days / week

Where will this Vizsla sleep at night?*
Where will this Vizsla stay while you work or are away for several hours?*
Are you willing to take this Vizsla to obedience (or other) training classes?*

YesNo
Where do you plan on taking this dog for training? (Name of school or trainer)*
Tell us about any dog training experience you have.*
Describe how you discipline a dog.*
What type of mental enriched can you provide to this Vizsla?*
What sort of mental enrichment can you offer this Vizsla?*

Obedience or rally trainingAgility trainingField training (for hunt tests)Hunting (after being trained)Other
How much time / day are you willing to exercise this Vizsla?*
What type of exercise can you offer this Vizsla?*

Leash walksOff leash runs / walksDog parkOther
How do you plan to introduce this Vizsla to other animals and family members?*
Why are you interested in adopting this Vizsla?*
What concerns, if any, do you have about adopting this Vizsla?*
Do you have a veterinarian?*

YesNo

Who is your vet?

	Veterinarian
Clinic name
Vet's name
Tel #

Please tell us what's most important that this Vizsla be for you / your family: (Tick all that apply)*

Friendly with childrenFriendly with dogsFriendly with strangersFriendly with catsCuddle on the couchPlayfulHigh energyLow energy / calmOther
Which of the following would you be willing to work on (if necessary) with this Vizsla?*

Aggression to dogsAggression to peopleResource (i.e., toy, food, crate) guardingShy/Fearful BehavioursBarkingCrate trainingSeparation anxietyNone of the above
Tell us what experience you've had working with the issues you've ticked off above.
What do you expect to be the worst and/or hardest part about adopting this Vizsla and how do you plan to deal with/address it?*
Additional information / comments
Supply as much additional info to help us understand why your home would be the best for this dog.
I would agree to provide at least two references, if asked by the VSO.*

YesNo
If my home is chosen for this Vizsla, I acknowledge and agree to:*

A) pay an adoption fee of $400 to the VSOB) maintain her anti-anxiety medications for at least six-months, or longer if advised by our veterinarianI do not agree to A)I do not agree to B)
Privacy Policy
PIPEDA - Collection, Protection and Use of Personal InformationUnder the Personal Information Protection and Electronic Documents Act (S.C. 2000, c. 5), the Vizsla Society of Ontario Inc. [VSO] collects personal data including name, address, telephone and email information for the purpose of establishing eligibility of membership and elections, distributing materials relating to club business, and to operate its services and programs such its Rescue / Rehoming program whereby information about the applicant's personal and home situation must be obtained for the purpose of making a determination on the suitability of a home for a rescued Vizsla. The VSO does not and will not share, publish, sell, or distribute personal information to/with other organizations without written consent of its members or applicants.
I/we give consent to the VSO for the collection and use of my/our personal information for the purposes noted above. *

Yes
Should be Empty:

	Name (optional)	Age (yr)	Gender
Child 1
Child 2
Child 3
Child 4
Child 5

	Dogs	Cats	Other
How many?
Breeds?
Gender?
Ages?
Spayed/Neutered?

Application to Adopt a Vizsla

Tell us about yourself and your family

Home environment

Dog-owning Experience

Privacy Policy