Applicant's Full Name
*
First Name
Last Name
Applicant's Age
Spouse/Partner's Full Name
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Cell Phone
*
(###)
###
####
How often do you check your email?
*
Do you rent or own your home?
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How long have you lived at your current address?
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If renting, does your rental agreement permit pets?
List the names and ages of all others living in your household:
Who will be the pet's primary caretaker?
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Will this be your children's first experience with a dog as part of the family?
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Which best describes your living situation?
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If other, please specify:
What type of area do you live in?
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What type of yard do you have?
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Is the yard fenced?
Type and height of fence:
Is your fence secure and are the gates at ground level?
Will the pet have to use steps to go potty?
Which best describes potty accommodations?
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If other, please specify:
How many hours per day will the pet be left alone?
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Will you be able to let the dog out during the daytime?
*
Where will the pet be kept while home alone?
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If other, please specify:
Where will the pet be kept while you are home?
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If other, please specify:
Would your foster dog be living with or exposed to any of the following on a regular basis? Check all that apply.
What Behaviors/Conditions Would You Have a Hard Time Dealing With in a Foster Dog? Check all that apply:
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Your Other Pets/Animals
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Please list all other animals that you have owned in the last five years (living or deceased). Please include name, type of animal, spayed/neutered, age, how long owned, Heartworm Preventive, Up-to-date vaccinations
If you no longer have any of the above animals please explain why and how long ago?
Do any of your current pets have a medical condition? If yes, please explain:
How do you exercise your current dog(s)?
Are you willing to allow a home visit by appointment?
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Have you ever been bitten/attacked by a dog?
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If yes, please explain what happened:
Are you comfortable and/or knowledgeable in basic medical dog care (deworming, ear infection, administering medications, etc.)
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Are you willing to foster a special needs dog?
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Do you have the means to isolate your foster from your own dogs?
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Have you ever fostered with another group and if yes, when, and what is the name of the organization/group?
*
What do you hope to gain from your fostering experience with Doxie & Friends Rescue:
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Are you willing and able to transport your foster dog to the vet for medical care?
*
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Relationship to you:
*
How long have you known this person?
*
Please give us the name and phone number for a person to contact in case of an emergency:
*
Date
MM
DD
YYYY
Spouse's Signature
Date
MM
DD
YYYY
