Foster Application

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Foster Application

First Name:

Last Name:

Spouse First Name:

Spouse Last Name:

Your Occupation:

Spouse Occupation:

Email Address:

Address:

How Long at this Address:

Home Phone:

Cell Phone:

Name, age and relationship of those residing with you.

Your Home:

Type of residence? House Condominium Apartment

Own or Rent? Own Rent

If renting, is your landlord agreeable to you fostering a rescue Dachshund?
Yes No Not Applicable

What is the size of your yard?

If you have a yard, is it fenced? Yes No I don't have a yard

If you have a swimming pool or spa, is it saftey fenced or does it have an alarm?
Saftey Fenced Alarm Both I don't have a pool/spa

Are there stairs in your residence? Yes No

May a LVHDDCR representative visit your home? Yes No

Do you have a dog door? Yes No

Do you have a dog house? Yes No

Pet Care

Why do you want to foster a rescued Dachshund?

Do you know the temperament and characteristics of Dachshunds? Yes No

Have you ever been charged with a Animal Control violation? Yes No

Do you have a dog crate? Yes No

Where will the dog be kept during the day?

How many hours a day will the dog be left home alone?

Where will the dog sleep?

Who will take care of the dog while your at work?

Are you familiar with possible behavior problems in rescue dogs? Yes No

Will you work with your rescue dog to correct these problems? Yes No

Have you taken canine obedience classes? Yes No

Name and phone number of your Veterinarian:

May we contact your vet for references? Yes No

Your Pets

Do you currently own any other dogs? Yes No

Do you currently own any cats? Yes No

If you do own any other pets, please provide the name, breed, species and age of each:

Have ALL the animals listed above (if any) been spayed or neutered?
Yes No Not Applicable

Are you able to keep your foster dogs away from your pets if necessary?
Yes No Not Applicable

Your Preferences

When fostering a Dachshund, what ages are you willing to consider?
Puppy 1-3 Years 4-6 Years 7-10 Years Over 10 Years

When fostering a Dachshund, what genders are you willing to consider?
Male Female

Would you consider fostering a pair of dogs in the case that two dogs shouldn't be separated and need to be kept together?
Yes No

Are you willing to foster a dog that is:

Abused? Yes No

Not reliable with children? Yes No

Handicapped? Yes No

Needs ongoing medication? Yes No

Requires continued house training? Yes No

The information provided in the application (in its entirety) is true to the best of my knowledge as of the date on this application. I agree that submission of this form will constitute a legally signed document.

Signature: (Enter your name to sign)

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