Adoption Application (Digital) - Husker Weim Rescue Inc.

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Husker Weim Rescue, INC.
Adoption Application

After submitting your application, you will be contacted as we go through the adoption process. All information provided will be kept confidential.
Adoption contract will be signed upon completion of the process.

Payment types accepted: Cashier's Check, Money Orders, or Cash

Out of state adoptions are allowed. Adopter is responsible for transportation.

A two week period is provided to ensure the bonding between the adoptive family and rescue foster dog before the adoption contract is final.

We reserve the right to deny any home a rescue dog.
Contact Information







Family & Housing




Active
Noisy
Quiet
Average



Yes
No
Undecided

Yes
No
Undecided

Other Pets


Yes
No


Yes
No


Yes
No


Yes
No


Yes
No

Veterinarian




About the Dog You Wish to Adopt:



Spayed Female
Neutered Male
No Preference

Outgoing/Hyper Dog
Shy Dog
Dog That Needs Training
Dog That Needs Regular Medication
Non Preference
None of These






Yes
No

Yes
No


Yes
No


Yes
No

Yes
No

Personal References: List Someone Who Is Familiar with Both You and Your Pets




Relative
Neighbor
Friend
Other




Relative
Neighbor
Friend
Other


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