WPC: Ӥs̠t(?kBuJ:nN>F#4Bųޠ ZӴMmC rs6Nk Xq bxA3 \!ޤ}7-[zm7~M@y}Rv.^)KȋyXȱhb5Q9UJrM||<.mIJGy }R!ȣu?GM~} Fl׃;" :;V%z]E}`ԫŶAWC}Ӕ]GlOC!W;^%b[ѽWRu0Xjb|8!6Ǐ筸jqEkXo   <XMXXX<&G&X<XMVarazsVizslascareaboutthefutureoftheirdogsandsoplacingtheminlovinghomesisessential.  Aswell,dogownershipcarriesgreatresponsiblityforthefuturewellbeingandcareofourcaninecompanionsandwerecognizedtheVizslabreedisnotforeveryone!Thesedogsareverydemandingforattentionandaffection,energetic,intelligent,mischievous,butareextremelydevotedandfunlovingdogs.Asaresponsiblebreeder,Iwanttoensurethatmypuppiesandanyolderdogsgotherighthomes,andwhereverhumanlypossible,thatthedogremainsinthathomefortherestofitslife.YourhonestandcompleteanswerstothisapplicationwillhelpmedeterminewhetheryourhomeandpersonalitywouldbeagoodmatchforaVizsla.Thankyoufortakingthetimetocompleteand   returnit! ,@FAZ*Futura Bk BT BookTABLE B~-.nn@2@UA*Futura Md BT Bold,}AZArial  $    # genderTABLE AU2L0Quick mm0 mailto:sdorosh@idirect.com(O$##' dxdTTTT'dxdH%96AZ"Arial Narrow R.   dhttp://www.varazs.orgEpson Stylus COLOR 900 ESC/P 20TABLE D"Arial Regular          7i)Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5d 4%j!  CEUS., ,(437<C:XX+  _fo[r " hp x (#%n(*-v/1&4~68.;=?>Xo8ZKZdd8  \ZB<C::<CUSCE., Bo<:B<C  C'VARAZSRegdVIZSLAS  ApplicationtoPurchaseaPuppy/Dog #B<C:Bo<[#CE.,US.,CUSCE.,B  :B<C#   B $#B      zAtVarazsPerm.RegdVizslaKennels,Iinvestagreatdealoftime,energy,andmoneyinraisingVizslasto  thehighestpossiblestandardsofhealth,temperament,beautyandintelligence.Icareverydeeplyabout  thepuppiesIbreed.Itrytoensuretheyareplacedinthebesthomespossible,whereownershave JL sufficienttimeandincometocareforthemproperlyCE.,US.,&USCE.,#B<C: B 8#B  :B<C#   B z#B    Ԁsuitablespace,andwillprovidethemwithastimulating,  activelifeandgivethemlotsoflove.SinceImaintainalifetimecommitmenttomypuppies,screeningand  approvingsuitablehomesispartofmybreedingprocess.Ifyouwishtobeconsideredforoneofmydogs,   pleasecompleteandreturnthisform;doingsoinnowayobligesmetosellyouadognordoesitcompel j l  youtobuyfromme.Allinformationwillbekeptstrictlyconfidential. 2 4  TheVizslabreedisnotforeveryone!Yourhonestandcompleteanswerswillhelpmedeterminewhether   yourhomeandpersonalitywouldbeagoodmatchforoneofmydogs.Ifyourhomeisapproved,the   informationyousupplywillhelpmematchapupwiththebestqualificationstomeetyourinterests.#   B ##<C:  #CE.,US., RT  *E5Fddd Xdd Xdd XfT$fT$,dd ,dd +     R<f] ::<CR  :R<f]YourName:  RT  Spouse/PartnersName   Namesofotheradultslivingatthisaddress:     Street:Address:   City:  qs Prov/State:   PostalCode:   HomePhone:()  #% HomeFaxNo.:()  #% YourBus.Phone:()  |~ Emailaddress: 5 |~ YourOccupation: '55 'OccupationofSpouse/partner: $5 $YourHr.ofWork:  .0 Spouse/partnershr.ofwork  .0  CombinedGrossAnnualHouseholdIncome:0  $&!h$h$  & -(44,R&6 % R`4ff, N z ?kX(X  " Xn(X>`2   1  .3  0  Indicateyouragegroup(s)&whetheryousmoke:7 9"T$T$ u7ff 9?kX(Xff, N z ?kX(Xu  OfYourself  OfYourSpouse/Partner0  A.OtherAdultinHousehold0?T$T$B.OtherAdultinHousehold!$?T$?T$            (Notrelatedtoyou)0 ? (Notrelatedtoyou)"%?T$?T$   ___0  Under18  ___ Under18  ___ 9 Under180?T$T$___ k Under18L$N!'?T$?T$   ___0  18250 T$T$___0  T$ T$18250 T$ T$0T$T$___09T$T$18250?9T$9T$___0k?T$?T$1825%"(kT$kT$   ___26350  ___0  T$ T$26350 T$ T$___09T$T$26350?9T$9T$___2635%")?T$?T$   ___0  36500 T$T$___0  T$ T$36500 T$ T$0T$T$___09T$T$36500?9T$9T$___0k?T$?T$3650&#*kT$kT$   ___0  51600 T$T$___0  T$ T$51600 T$ T$___09T$T$51600?9T$9T$___0k?T$?T$5160'$+kT$kT$ 0  ___0T$T$61700 T$T$___0  T$ T$61700 T$ T$0T$T$___09T$T$61700?9T$9T$___0k?T$?T$6170a(c%,kT$kT$   ___71+0  ___0  T$ T$71+0 T$ T$0T$T$___09T$T$+7109T$9T$0?T$T$___71+2)4&-?T$?T$   ____Smoker  ____Smoker  0  ____Smoker  0?T$T$____Smoker*'/?T$?T$   ____Nonsmoker0  ____Nonsmoker  ____Nonsmoker ? ____Nonsmoker+(0 T$ T$  G-I*2 \Z \ \  {:ff, N z h,,X#%(Xff 9?kX(X{2   2  .3  0  Doyouhavechildrenlivingathome? h 0T$T$___  Yes  0DT$T$___ p NoDT$DT$   2   a  .3  0  If Yes,whatisthetotalnumberofchildrenlivingathome?0DT$T$Males________  Females______DT$DT$   2   b  .3  0  Whataretheirnames&ages?RT$T$       2  (  1  )3  ____________________________________ #s       2  (  2  )3  ____________________________________        2  (  3  )3  ____________________________________ g        2  (  4  )3  ____________________________________  Y        2  (  5  )3  ____________________________________      2   3  .3  0  Doyouliveina:0 T$T$____House/TownhouseM  T$ T$        4  ____Hiorlowriseapartment.0  Whichfloor?________________n T$T$        4  ____Condominium0 h 0hT$hT$0T$T$Whichfloor?________________? T$T$        4  ____Mobilehome          4  ____Other.Explain:A5!)($dE2A   2   4  .3  0  Doyouownorrentyourhome?0z T$T$_____Own0z T$z T$0T$T$_____Rent3T$T$   2   a  .3  Ifyourent,willyourlandlordgiveyouwrittenpermissiontohaveadog?0  _____Yes0xT$T$_____No%xT$xT$   2   5  .3  0  Howmanyyearshaveyoulivedinyourpresenthome?__________________________wT$T$ 2   6  .3  0  Doyouhaveacatordognow?0z T$T$_____Yes0z T$z T$_____NoiT$T$   2   a  .3  0  Whichspecies?0N T$T$____Cat?Or____Dog? N T$N T$     2   b  .3    Howmany?0 0N T$ T$_____Cats0hN T$N T$0hT$hT$_____Dogs]T$T$   2   c  .3  0  Howlonghaveyouownedyourcatordog?________________________________________________________OT$T$ 2   7  .3  0  Ifyoucurrentlyownadog/dogs:!T$T$   2   a  .3  0  Whatsex?0 T$T$______Female0h T$ T$_______MaleC!#hT$hT$     2   b  .3  0  Whatbreed(s)?________________________________________________________________________________"5%T$T$   2   c  .3  0  Howmanyarespayed/neutered?0hT$T$______Female0hT$hT$_______MaleX% (T$T$   2   8  .3  0  Haveyouownedanypetspriortotheone(s)youownnow?0T$T$_____Yes0T$T$_____No'#+T$T$       2   i  .3  0  Whatkind?___________________________________________________________________m)$-T$T$     2   ii  .3  0  Whathappenedtoyourpet(s)?+0'0T$T$  ,(1 C' C  # C  2   9  .3  0  Whydoyouwanttoacquire_a[nother_]dog? T$T$ 2   10  .3  0  Whattraitsdoyouwantinadog?3 T$T$ =f wD@l-H!X(Xff, N z h,,X#%(X2   11  .3  &  0 ( Describeyourpersonalexperience,ifany,intrainingdogs.(Howmanyyears?Whattypeoftraining?Forwhat H% purpose?etc.).(T$(T$ [g2   12  .3  0 ( Haveyouobtainedanytitlesonyourdogs,eg.,CD,CH,FD,_JH_,etc.?Ifso,pleaseprovidedetails&indicatehow rO longago.C  (T$(T$ ' HV02   13  .3  Ԁ0 ( Haveyoueverowneda_Vizsla_Ԁbefore?)"&(T$(T$  ( ____NoHaveyouevermetoneorspentanytimewithone?_________________________ # (  ( ____YesHowmany?__________________________Whathappenedtoit/them?(Describebelow.) m%J"* 2   14  .3  &  0 ( Whydoyouspecificallywanta _VIZSLA_ ?$+(1(T$(T$ '$+_4 h.E+5 2   15  .3  0 (  D What gender of_Vizsla_Ԁwouldyouprefer?  ___Male  ___Female___Doesn'tmatter#(T$(T$ 2   16  .3  &  0 ( Ifyouhaveselectedaspecificgenderinquestion# Dgender15  ,pleaseexplainwhy.(T$(T$ 'c6x1fn XY %(Xf wD@l-H!X(Xx2   17  .3  0 ( IfIdonthaveapuppyofyourgenderchoice,willyouconsidertheoppositesex?  ____0(T$(T$Yes Y ____0@ T$T$ @ No  T$T$ 2   18  .3  0 ( Isthereanyoneinyourhouseholdwhoisreluctanttogetadog?Pleaseprovidedetails.n (T$(T$ 2   19  .3  0 ( Doyouthinkananimalshouldhaveatleastonelitterbeforebeingfixed?(T$(T$ 2   20  .3  0 ( Areyouinterestedinbreeding?Ifyes,pleaseexplainwhy.(T$(T$ `%f  X(Xfn XY %(X`  2   21  .3  0 ( Whatareyourviewsonspaying/neutering?. (T$(T$ 2   22  .3  0 ( Haveyoupersonallyeverraiseda puppy before?!(T$(T$  ( ___No___YesApprox.howlongago?____________________________________________ " 2   23  .3  0 ( Indicatewhichindividualinyourhouseholdwillberesponsibleforthe primarycare ofthedog(ie.,exercising,feeding,  d$ grooming,etc.)?X!5%(T$(T$ 2   24  .3  0 ( Whatarrangementshaveyoumadetofeed&letapuppyoutduringthedayuntilitisatleast6monthsold?>&#+(T$(T$ 2   25  .3  0 ( Whatisthelongesttime(onaverage)thatthedogwillbeleftunattendedonaregularbasis?S*0'0(T$(T$  h.E+5 [g [#  [  c4, " <wD, Xn(X>f  X(Xc2   26  .3  0 ( Whatareyourviewsoncratetraining?(T$(T$ u7f <82Lx%(X, " <wD, Xn(X>u% P 2   27  .3  0 ( Isthe_Vizsla_Ԁyouwishtobuytobe:; (T$(T$  ( ___  Ashowdog?____Huntingdog?____Afamilycompanion/pet?  Y   ( ___  Other(explain)_____________________________________________________________________________    2   28  .3  &  0 ( Pleaseindicate howmuchtime youarewillingtospendexercising,trainingandgroomingyour_Vizsla_.! (T$(T$ u4fTn , 8,.H!X(Xf <82Lx%(Xu ( 2   a  .3  0 T ExerciseA5!)X dEX dA n    No.ofhoursperdayorweek?? TT$TT$  ( b T ObedienceA5!)X dQEX 5A n     8     ( c. T GroomingA5!)>  dQE> A n     8  e  '!C& s 2   29  .3  0 ( Howmuchmoneycanyouaffordannuallyonthefollowingfora_Vizsla_?(T$(T$ r4fBf(` 7c?X(XfTn , 8,.H!X(Xr ( Food:  ___ ` $100$200 ___  $201$400 7 ___ c $401+'s}G %  ( &  VetBills  ___ ` $0$100 ___  $101$300 7 ___ c $301$500  ___$501+'zIԀ(ifnecessary) z r4 D Xn(X>fBf(` 7c?X(Xr2   30  .3  0 ( Areyouwillingtoenrollyour_Vizsla_Ԁin atleast twoobediencesessions,eachlastingaminimumof8weeks,beforethe  dogturnsoneyearold?i(T$(T$ o1fa 8X(X D Xn(X>o (   ___ a Yes0 ___NoWhynot?: T$ T$ o4f \ J*VX(Xfa 8X(Xo2   31  .3  0 ( Doyouhaveafencedinyard? \ 0(T$(T$___ J Yes * 0VT$T$___No  VT$VT$  ( 2   a  .3  Ifyes,howhighisthefence? F" 2   32  .3  0 ( Doyouhaveanoutdoordoghousethatyouintendtouse?  ____ ~ Yes @ ____No!5%(T$(T$ 2   33  .3  0 ( Whatwouldyoudowithyourdogifyoumoved?[#'(T$(T$ 2 !  34  .3  0 ( Wheredoyou(intendto)keepyourdogwhenyougoout?A($-(T$(T$ r4f'a <h8X(Xf \ J*VX(Xr ( ___Looseinafencedinyard <  )%.  ( ___Inakennelrun )_&/  ( ___Tiedupoutdoors *0'0  ( ___Confinedindoorstoacrateorroom +(1  ( ___Other.Explainbelow. V,(2  -t*4 Ї2 "  35  .3  0 ( Wherewillthedogsleepatnight?(T$(T$  ( ___Outsideintheyard/doghouse? U  ( ___Inakennelrun? & + ( ___Insidethehouse.Where?0 < ___ h Basement?s<T$<T$  (  '  a   < ___ h Confinedtoaroomindoors? O  (  '  a   < ___ h Inbedwithyouoryourchild? + 0 ( 0'(T$(T$0a'T$'T$ 0<aT$aT$___ h Other.Where?______________________________________________<T$<T$ +Si+ , D Xn(X>f'a <h8X(Xi2 #  36  .3  0 ( Whattypeofexercisedoyouandyourpartnercurrentlyengageinforyourselves?  (T$(T$ 2 $  37  .3  0 ( Whattypeofoutdoor,physicalactivitiesdoyou,yourspouse/partner,and/orfamilyengageinthatwouldincludeadog?k (T$(T$ 2 %  38  .3  0 ( Pleasetickoffwhichofthefollowingactivities,ifany,youwanttoengageinwithyour_Vizsla_:(T$(T$ `+f f_X , D Xn(X>`  ___  Hunting f   ___0  _CKC_/AKCFieldtests&trials7T$T$   ___0  _CKC_/AKCObediencecompetition    T$T$   ___0  _CKC_/AKCConformation(showing)]T$T$   ___0  Pettherapy/visitation.T$T$   ___0  Agility{T$T$   ___0  _Flyball_L T$T$   ___0  TrackingorSearch&Rescue!T$T$ 0  Ifyouwishinformation/detailsonanyofthesesports/activities,pleasecontactSylvia_Dorosh_.C #T$T$ 2 &  39  .3  0  Areyouawarethatperhealthinsuranceisnowavailablefordogs? _ ___Yes0T$T$___No!a%T$T$   2 '  a  .3  ԀWouldyoubewillingtotakeouthealthinsuranceonyourdog(approx.costis$25$35/mo.)? # '     ____Yes____No X$ ( 2 '  40  .3  0  Areyouwillingtotrain&competeforaminimumofonetitleonyourdog?%v"*T$T$   _____Yes____No[Whynot?] &G#+ 2 (  41  .3  0  WillyouagreetoshowyourdogorhaveitshowninconformationtoobtainaChampionshiptitle,ifthebreeder *\'0 determinesithasshowpotential?  ____Yes  ____  No+-(1T$T$   S-)3 2 )  42  .3  0  Pleaseprovideinformationfor two(2)personalreferences whoareNOTfamilymembers: eg.aveterinarianora  memberofa_Vizsla_Ԁorotherdogclub.UT$T$ *x>5Yd ddd dd E5FfT$fT$x,Sdd ,3 dd ,dd , dd +  ss R  %R&6Name:  [ Name:  [ Street:  0 Street:  0 City:    City:     Prov./State:  f   Code:  f   Prov./State:  f   Code:  f   Relationshiptoyou:  ;   z  Relationshiptoyou:#R&6 % Rc#R  %R&6   ; Tel.#:   O  Tel.#:   O  Email: ,    c  Email:#R&6 % Rje#R  %R&6,    #R&6 % RKf#Signature(s)______________________________________________________________________________________ O   Date:0  _________________________mT$T$   0 @F Pleaseaddothercommentsandinformation_below. _  Sendapplicationto:S._Dorosh_,10150FirstLine,RR#1,Moffat,ON,CanadaL0P1J0,orfaxto(905)8542813.  d Email:4K sLO  5  vizslas@varazs.org6hLOh  7^hԀWebsite:4U LO  5  www.varazs.org6oiLOippos  7heGi 5 zg