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                   Foster Application - Dog

 

 

                             

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First name:

 

Last name:


Address:

City:

State:

 Zip:

Daytime Phone:

 

Evening Phone:

 Cell Phone:

Email address:

 

Fax Number:

 

How did you hear about us?:

Do you have a home computer?: Yes No

Do you have a printer?: Yes No

 

Best time to contact:

 

Emergency Contact Name and Number:

 

Please list any other adults living in the household:

Please list names and ages of any children who either live with you or visit you on a regular basis (include any grandchildren or otherelatives) :

 

Please list names,ages, spay/neuter status, species (dog, cat, etc.) and breed of ALL pets in your household :

 

Are there any relative's pets frequently in your home?: Yes No

If so, please provide all info requested above, for those pets :

 

Do you take care of friends' pets in your home while they are on vacation?:   Yes No

If so, please provide all info requested above, for those pets :

 

How does your dog(s) react to other dogs (friendly, submissive, growls, etc) :

 

Are ALL dogs in your household current on ALL recommended and/or required vaccinations?: Yes No

 

Please list dates of last vaccinations (Rabies, DHLPP, Bordatella) :

 

Name, address and phone of current Veterinarian (require 3-year history, so list more than one if necessary).

 

Please include the name the vet records are listed under if different from applicant's name :

 

Have you ever had a dog diagnosed and/or treated for heartworms: Yes No
If yes, please explain :

 

Do You: Own Rent

Do you reside in: House Townhouse Apartment Duplex Other

 

If you rent, do you have the landlord's permission to have a dog over 50

lbs?: Yes No

 

Landlord's name, address and phone number :

Do you have a fenced yard?: Yes No

 

What type of fencing do you have?:

What height?:

 

Do you allow your dogs to run in any unfenced areas?: Yes No

If yes, please explain?:

 

Are you employed: Full-Time Part-Time Both Other

Is anyone home during the day?: Yes No

If so, who?:

 

If yes, where will the dog be during the day?:

If no, where will the dog be during the day?:

 

Where will the dog be kept at night?:

If no one is home during the day, how many hours will the dog be alone?:

 

Are you familiar with crate training?: Yes No

 

Do you have a crate available for use with your foster dog?: Yes No

 What type of dog training experience do you have? :

Are you aware that a foster dog may jump, bark, chew or display other undesirable behavior while in your care?: Yes No

 

Have you ever taken an obedience course with a dog?: Yes No

 Is your own dog obedience trained?: Yes No

Are you willing to work with your foster dog in areas such as house training, basic obedience commands such as "come, sit, stay, down, off", and walking on a leash?: Yes No

 

Have you had experience in introducing dogs into your household?: Yes No
If yes, please describe how this was accomplished :

 

Are you familiar with the concept of who in the household is the Alpha or dominant dog?: Yes No

If so, please describe who your example of Alpha is :

Should a disagreement or fight occur between your own dog(s) and a foster dog, how would you handle the situation? :

 

What actions would you take to avoid this situation in the future? :

 

Are you willing to supervise any children around your foster dog at ALL times?: Yes No

 

Please describe the type(s) of foster dogs you are willing to have in your home i.e. puppies, female, male, senior? :

How many dogs are you willing to foster at one time? :

Is there a preferred activity level for a dog you would want to foster? :

 

Is there a preferred size foster dog you are willing to foster (i.e., small - under 25 lbs, medium - 25-45 lbs, large - over 45 lbs)? :

Please describe your level of experience as a dog owner and provide an honest assessment of you abilities to recognize and deal with any problem behaviors a foster dog might exhibit (i.e. barking, growling, possessiveness of toys or food, chewing, digging, lack of house training, seperation anxiety, etc.) :

 

Describe any medical treatment or special care you have given dogs (trim nails, clean ears, administer medication, etc) :

Have you ever been cited by Animal Control?: Yes No

If so, what state, county, when and for what reason? :

Have you ever fostered a dog before?: Yes No

 

If yes, please explain? :

If a member of an obedience club, breed club or another rescue, please list :

 

I/we acknowledge that all the information provided is true and correct and that I/we have answered all questions truthfully. Submission of application does not guarantee placement of a foster dog through K9 Editions Rescue.

 

 

   Sign: X                                                            Date: