Your Name
Phone
Physical Address
Your Email
What is the best time to reach you?
Why do you want a Vizsla?
Have you owned a Vizsla before? yes no
Do you own a Vizsla now? yes no
Sex of dog wanted: female male no preference
Age of dog wanted:
Other qualities you are looking for in a rescue Vizsla:
Would you be willing to take a Vizsla mix? (non-purebred Vizsla) yes no
Will the dog live inside or outside? inside outside
Do you have a fenced-in yard? yes no
How high is the fence?
Do you have children in the home and what are their ages?
Do you have other adults in home? yes no
Are they in accord with owning a Vizsla? yes no
Do you or any family members have any pet allergies? yes no
Other breeds of dogs in home (age, sex, altered)?
Do you have cats? yes no
Other pets?
How many hours per day will the dog be alone?
The Vizsla is a high-energy dog. How will you provide exercise?
Do you own your home or rent? own rent
If you rent do you have permission from your landlord to own a dog? yes no
Landlord’s name and contact information (phone number):
What is the name/phone# of your veterinarian?
Please list 2 personal references:
Sometimes Vizslas coming into rescue display behavior which is not considered acceptable such as fear, aggression, poor housebreaking, overly clingy or distant. This is usually due to a lack of proper socialization, training in the former household, or from commercial breeding facilities. Tell us what you know about Vizslas, or anything else you would like us to know and what knowledge or experience you can provide, such as training, understanding and love to promote a stable life for the rescued Vizsla?
What other information you would like us to know?
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