Thank you for your interest in Vizsla Rescue! 
Program Info: 
The Vizsla Club of Central New England Rescue works with the national club, the VCA, to help vizslas who need to be rehomed. We take in approximately 12 dogs yearly. We do our best to evaluate every dog through temperament tests and foster care in an attempt to match each dog with the right applicant. 

Application and Process:
We have a multi-step adoption screening process including this application, a phone interview and a home visit. 

An adoption fee of $350 is required at the time of adoption. This fee helps to defray the costs of veterinary care and foster care expenses. The fee is lowered to $200 for dogs over 7 yrs of age.

VIZSLA CLUB OF CENTRAL NEW ENGLAND
RESCUE APPLICATION

This application is prepared for your benefit. Please take the time to fill it out as completely as you can. All of the information will be kept in strict confidence and will help us to place the right dog with the right family. Completion and submittal does not, however, guarantee that you will be eligible to adopt a Vizsla.


ONLINE RESCUE APPLICATION
NAME (S): 

ADDRESS:

CITY, STATE, ZIP

HOME:

CELL:

WORK:

ADDITIONAL CONTACT PHONE #'S

EMAIL ADDRESS:

ADDITIONAL EMAIL ADDRESSES:

PREFERRED METHOD OF CONTACT:

TIME OF DAY FOR CONTACT: 

NAMES OF OTHER ADULTS LIVING IN THE HOUSEHOLD:

AND:

NUMBER OF CHILDREN LIVING IN HOUSEHOLD:

AGES OF CHILDREN
​                                          
LIST PETS CURRENTLY IN YOUR HOUSEHOLD INCLUDING BREED, AGE, SEX, SPAY/NUETER?:





HAVE YOU OWNED PETS IN THE LAST 5 YEARS?  IF SO WHAT HAPPENED TO THEM?:





DO YOU?


IF RENTING NAME AND CONTACT INFO FOR LANDLORD: 



​SIZE OF LOT & AMOUNT OF ACREAGE:

DO YOU HAVE A FENCED IN YARD OR AREA :

IF YES, PLEASE DESCRIBE, TYPE, HEIGHT AND SIZE OF AREA:




IF NOT FENCED, PLEASE DESCRIBE HOW YOUR WOULD MEET 
THE BATHROOM/ PLAY YARD NEEDS OF DOG:









WHY DO YOU WANT A VIZSLA?  WHAT BREED CHARACTERISTICS APPEAL TO YOU?







DESCRIBE A TYPICAL DAY FOR YOUR CURRENT OR PAST DOG(S):







HOW WILL YOU MEET YOUR VIZSLAS EXERCISE NEEDS?







WHAT OUTDOOR ACTIVITIES DO YOU CURRENTLY ENGAGE IN?








DESCRIBE YOUR WORK SCHEDULE (HOURS AWAY FROM HOME):





ARE YOU ABLE TO:





IF YOU HAVE DOGS NOW, PLEASE DESCRIBE THEIR PERSONALITIES, INCLUDING BEHAVIOR WITH OTHER PEOPLE, CHILDREN AND OTHER DOGS OR ANIMALS: 













WHERE DOES YOUR CURRENT OR PAST DOG SLEEP OR WHERE WOULD THIS DOG SLEEP?



HOW WOULD YOU ADDRESS THE FOLLOWING ISSUES:
A DOG THAT CHEWS ON INAPPROPRIATE OBJECTS, STEALS ITEMS OFF COUNTERS, JUMPS ON GUESTS?









DO YOU ALLOW YOUR DOG ON FURNITURE AND OR BEDS?


OFTEN DOGS COMING THROUGH RESCUE NEED SOME TRAINING OR BEHAVIOR MODIFICATION.  WHICH ISSUES ARE YOU WILLING TO WORK ON (WITH GUIDANCE):










WHAT EXPERIENCE DO YOU HAVE WITH THESE TRAINING CHALLENGES?








ARE YOU INTERESTED IN ANY SPECIFIC TRAINING SUCH AS:





WHAT AGE DOG ARE YOU LOOKING FOR:





ARE YOU WILLING TO ADOPT A DOG WITH A TREATABLE MEDICAL ISSUE?


ANY OTHER ADDITIONAL COMMENTS TO ADD TO YOUR APPLICATION:













THANK YOU FOR TAKING THE TIME TO FILL OUT THIS APPLICATION. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT OUR RESCUE COORDINATOR
Morning after 9:00amAfternoonEvening Before 9:00pm
MALE
FEMALE
BOTH
OWN HOME
YESNO
YES
NO
GUARDING STOLEN OBJECTS ,FOOD.TOYS
RECALL TRAINING
OBJECT STEALING/INGESTING
BASIC TRAINING
HOUSE TRAINING
POOR SOCIALIZATION/FEAR
INAPPROPRIATE CHEWING
JUMPING ON GUESTS
THERAPY WORK
COMPETITIVE OBEDIENCE
HUNT & FIELD
AGILITY
ANY AGE
6YRS-9+YR
2YRS-6YRS
PUP-2YRS
RENT