APPLICATION TO FOSTER A RESCUE DOG
CANADIAN HOUND RESCUE
http://www.dawgzden.com/dawgzden/rescue/
Completing this application does not put the applicant under
any obligation and does not guarantee that the applicant will receive a dog to
foster. All information is kept strictly confidential. Please complete the
application in full. By submitting this application, the applicant states that
all information is true and accurate.
ABOUT YOU
Names of all adults in household:
________________________________________________________
Address:
_____________________________________________________________________________
City, Province, Postal Code:
_____________________________________________________________
Daytime Phone ________________ Evening Phone
_______________ Best time to call
____________
Email
_____________________________________ FAX
____________________________
Occupation:__________________________________________________________________________
Number of persons
in your household?
____________
Adults: Women _________ Men ___________
Children: Girls Ages: ____________________ Boys Ages: ______________________
Who would be the dog’s primary caregiver?
________________________________________________
Is anyone in your home allergic to
animals? ________________________________________________
ABOUT YOUR HOME
What type of dwelling do you have?
(Circle one)
Apartment, Condominium, Detached Home, Duplex ,
Townhouse, Farm, Rural Property
Other ______________________________
Do you OWN
or RENT your home?
If you rent your home, do you have your
landlord’s permission to keep a dog?
Yes No
How long have you lived at this address?________________________________________________
Do you have a yard? Yes
No
If you have a yard, is it fenced? Yes
No If yes, how high and what
kind is it? ________________
If your yard is not fenced, how do you plan to ensure that the dog
receives safe and adequate
exercise?___________________________________________________________________________
Where will the dog spend the day?________________________________________________________
How many hours a day will the dog be
left alone?____________________________________________
Where will the dog be kept when left
alone?________________________________________________
Where will the dog sleep at night?________________________________________________________
Would you be willing to crate the dog
while unsupervised? Yes No
Are there currently animals in your
home? Yes No
If yes, please list them, including
Type (dog, cat, bird, etc), Gender, Spayed/Neutered, Breed,
Age:
________________________________________________-________________________________
_________________________________________________________________________________
_________________________________________________________________________________
PET OWNERSHIP QUESTIONS
Please list all pets you have owned in
the past ten years (other than the ones listed above), and what happened to
each of them. (Please be specific.)
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Have you ever bred or raised dogs? Yes
No
Do you have experience training
dogs? Yes No
Have you ever owned a hound
before? Yes No
Why do you want to foster a dog?
How often do you go on holidays or take
vacations where you would not be able to take the foster dog?
How would you
handle the following behavioural problems:
...Jumping on
furniture__________________________________________________________________
...
Barking____________________________________________________________________________
...
Chewing___________________________________________________________________________
...
Digging____________________________________________________________________________
... House
Soiling_______________________________________________________________________
... Aggression
toward other dogs__________________________________________________________
... Aggression
toward humans____________________________________________________________
Which of these would cause you to
return the foster dog?_____________________________________
FOSTER DOG PREFERENCES
Size preference: Large_____
Medium_______ Small________ No preference_________
Age preference: Puppy____ Young
adult_____ Mature adult_____ Senior_____
No preference_____
Gender preference: Male____ Female_____ No
preference______
Desired activity level: Active_______ Medium________ Couch potato________
Other preferences: Good with cats ____ Good with dogs____
Good with children_____ Good in car_____
Are there any other traits you prefer?_________________________________________________
Would you be
willing to foster a special needs dog (health problems, behaviour
problems etc.)? Yes No
Would you be willing to housetrain a
dog? Yes No
For what length of time would you be
willing to foster a dog? (Check all that apply)
- Emergency fostering (on a short
notice)
- Short-term fostering (days to
several weeks)
- Long- term fostering (weeks to months, or until a permanent home is
found)
Would you be willing to have potential
adopters visit your home to meet the dog?
Yes No
REFERENCES
Please provide the names and contact
information for three references who can speak to your fitness as a pet owner
in general and, more specifically, as the owner of a medium-to-large-sized dog.
Please inform your references that we may be contacting them and give them
permission to speak with us. If you
currently own or have in the last five years owned a pet, please include your
veterinarian as one of the references. PLEASE DO NOT LIST MORE THAN ONE FAMILY
MEMBER OR OTHER RELATION AS A REFERENCE.
Reference
1:
Relationship to you: Veterinarian Other: ________________________
Name:
____________________________________
Address:
______________________________________
Daytime Phone: ______________ Evening Phone: ________________ Best time to
call: ________
Reference
2:
Relationship to you: Veterinarian Other: ________________________
Name: ____________________________________
Address:
______________________________________
Daytime Phone: ______________ Evening Phone: ________________ Best time to
call: ________
Reference
3:
Relationship to you: Veterinarian Other: ________________________
Name:
____________________________________
Address:
______________________________________
Daytime Phone: ______________ Evening Phone: ________________ Best time to
call: ________
OTHER COMMENTS:
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
INDEMNIFICATION AGREEMENT:
The undersigned Applicant(s) hereby
agree to release, indemnify, and covenant to hold harmless, Canadian Hound
Rescue, its members and officers, and its successors and assigns, from any
claims, damages, injuries, costs, or actions incurred as a result of fostering
any dog from Canadian Hound Rescue.
APPLICANT SIGNATURE:
___________________________________________________________
APPLICANT NAME (please print):
_____________________________________________________
DATE:___________________________________________
Thank you for your interest in
fostering a rescue dog from Canadian Hound Rescue. Please be advised that a
home visit will be required before your application can be approved. If you have any questions, please contact a
Canadian Hound Rescue representative.
E-Mail Application to: houndrescue@yahoo.ca
Or Mail to:
Canadian Hound Rescue, 80
Four Mile Lake Road, North Bay, Ontario P1B 8G2