We are a 501(c)(3) organization dedicated to our dogs
Inspected and approved by Lee County Domestic Animal Services

 

Pekes and Pals Canine Rescue Foster Care Application

* ALL BLANKS MUST BE FILLED IN

If a question does not apply to you, fill in the blank with "N/A"

* 1. Are your current pets neutered/spayed?
* 2. Applicant's full name:
* 3. Co-applicant's full name:
* 4. E-mail address: (Please double-check this)
* 5. Address:
* 6. City:
* 7. State:
* 8. Zip Code:
* 9. Home phone no: (1- xxx - xxx - xxxx)
*10. Cell phone no: (1 - xxx - xxx - xxxx)
*11. Applicant's age:
*12. Co-applicant's age:
*13. Why do you want to foster?

*14. Describe the type of dog you would like to foster (large, medium, small, length of hair, age, etc.)

*15. Do you have transportation?
*16. Do you prefer and inside dog, an outside dog or an inside/outside dog?
*17. Would you consider fostering a special needs dog?
*18. Would you consider fostering a dog that is not housebroken?
*19. Will you have time to teach as foster dog some basic manners?
*20. What are your thoughts on the use of crate training your foster dog?

*21. Applicant's occupation:
*22. Co-applicant's occupation:
*23. Applicant's place of employment and phone no.:
How long have you worked here? If you've worked here less than a year, please explain.

*24. Co-applicant's place of employment and phone no.: How long have you worked here? If you've worked here less than a year, please explain.

*25. If you work, is anyone at home while you are working? If yes, who?   Will this person be responsible for the dog?
*26. Do you travel frequently?
*27. Please specify what type of home you live in:

*28. Do you rent or own?   If you rent, please provide the name and telephone number of your landlord:   If renting, please attach proof (copy of your lease) that states that your property manager approves of you having a pet in your residence and that it does not violate your rental agreement.
*29. How long have you lived at this address?
*30. How long at your previous address?
*31. Please list all people currently living at this residence, their relationship to the applicant and their ages:
  If there are children in your household, have they been taught to respect animals?   Is eveyone in your household agreeable to this undertaking, and will they cooperate with your rescue efforts after reviewing the Rescue and Adoption Overview and Guidelines?
*32. Does anyone in your household have allergies to animals?
*33. Do you have a pool or hot tub?   If you do, is it fenced or covered so that a pet CANNOT get to it?   Explain, if necessary.
*34. Do you have a completely fenced area on your property?   If No, please tell us how you will address the dog's exercise and bathroom needs, etc.

*35. How many hours each day will your dog be alone? Weekdays:
Weekends: Evenings:
*36. Where will your foster dog be kept during the day (loose indoors, crate, basement, laundry room, kitchen, other confined room, fenced yard, chained outside, dog run, outside kennel run, on lead attached outside, loose oudoors, garage, dog house, etc.)? Please be specific!

*37. Where will your foster dog sleep at night? Again, be specific.

*38. Who will be responsible for feeding this dog?
*39. Who will be responsible for housebreaking this dog?   How much experience does this person have in housebreaking and training a dog? Explain.

*40. How would you handle housetraining? Explain.

*41. Who will care for the dog in the event you are ill, on vacation or otherwise incapacitated?
*42. Have you, as an ADULT, owned a dog before?   If the dog is no longer with you, please provide a brief explanation of where it is now.

*43. Have you ever had an animal die at an early age?   If yes, please explain.

*44. Have you ever given an animal to another person, rescue or shelter?   If yes, please explain.

*45. Please list below any pets who currently live in your house. Include their name, breed, sex, age, years owned and whether or not they are spayed or neutered.   Are these pets up to date on shots, heartworm preventative, veterinary care, etc.   If not, please specify which ones and why not.

VET REFERENCE: WE REQUIRE THAT YOU PROVIDE THE NAME OF YOUR CURRENT VET, OR IF YOU HAVE NO ANIMALS AT THIS TIME, THE NAME OF A VET YOU HAVE USED IN THE RECENT PAST. WE WILL CALL THIS VET TO CHECK ON YOUR PREVIOUS CARE OF ANIMALS.
*46. Name of vet's office:
*47. Vet's phone number:
*48. Vet's full address including state and zipcode:
*49. Approximate date of last visit:
*50. Reason for last visit:
*51. What name are vet records listed under?
*52. Groomer reference: If you have a groomer you have used before, please list the name and phone number here:
Personal References (not family members):
*53. (1) Name and phone number:
*54. (2) Name and phone number:
*55. (3) Name and phone number:
*56. How did you hear about Pekes and Pals?   Referred by:
*57. Home visits are required by rescue. Is this acceptable to you?   What days and times are you available?

I understand that this organization cannot guarantee the health, temperament or training of the foster dog, and I hereby release Pekes and Pals Canine Resuce, Inc. from all liability once the dog is in my possession.

Signature of applicant: _________________________________ Date: ______________

 

 

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A copy of the official registration (#CH15616) and financial information may be obtained from the Division of Consumer Services by calling (800) 435-7352, toll-free within the State. Registration does not imply endorsement, approval, or recommendations by the State.

This site is donated by our Webmaster. Copyright 2003-2011. The entire content of this site is the property of Pekes and Pals Canine Rescue, Inc., including photos, descriptions and graphics, and may not be used without written permission.


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