Print & Fill Out and mail to address below. Name of Applicant/Dog's Primary Caregiver: ___________________________________________ Address: _________________________________________________________________________ Daytime Phone: ______________ Evening Phone: _____________ Best time to contact: _______________ E-mail: _______________________ Fax: _______________________ Emergency phone (give name & phone): _______________________________________________________ Co-Applicant's Name: ______________________________________________________________________ Please list any other adults living in 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 other relatives): ______________________________________________________ _____________________________________ Names, ages, spay/neuter status, species (dog, cat, etc.), & breed of ALL pets in your household: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 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 vaccination: Rabies ________________ DHLPP _______________ Other (Bordetella, Lymes) ______________ Name, address, & phone of current Veterinary Clinic and/or Veterinarian: __________________________________________________________________________________________ __________________________________________________________________________________________ Have you ever had a dog diagnosed and/or treated for heartworms? Yes/No If yes, please explain: __________________________________________________________________________________________ __________________________________________________________________________________________ Do you own/rent? Live in (circle one): House Townhouse Apartment Duplex Trailer Other __________________________________________________________________________________________ Do you have the landlord's permission to have a dog ? Yes/No Landlord's name, address, & phone number: __________________________________________________________________________________________ Do you have a fenced yard? Yes/No What type of fencing, and height of fence?__________________________________ Do you allow your dog(s) to run in any unfenced areas? Yes/No If yes, please explain: _________________________________________________________________________________________ _________________________________________________________________________________________ Is anyone home during the day? Yes/No If not, where will the dog be kept during the day? __________________________________________________________________________________________ If no one is home during day, about how many hours will the dog be left alone? ______________________ Where will the dog be kept during the day? _____________________________________________________________ During the night? _______________________________________________________________________ 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 your foster dog may be an adult, with an unknown history, and no prior training? Yes/No Are you aware that your foster dog may chew, dig, bark, jump, or display other undesirable behaviors while in your care? Yes/No Have you ever taken an obedience course with a dog? Yes/No Is your dog(s) obedience trained? Yes/No Are you willing to work with your foster dog in areas such as basic obedience and house training? Yes/No Have you had any experience in introducing new adult 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 Alpha, or top dog? Yes/No If yes, please describe your understanding of who Alpha is: __________________________________________________________________________________________ __________________________________________________________________________________________ Should a disagreement or fight occur between your own dog(s) and a foster, how would you handle the situation? What actions would you take to avoid this situation? Please be as detailed as possible in your response. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 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. seniors, puppies, adults, male, female, special need dogs (those who may be deaf, blind, recuperating from surgery, or with medical disorders such as epilepsy, low thyroid, etc.): __________________________________________________________________________________________ __________________________________________________________________________________________ How many dogs are you willing to foster at one time? (on occasion there may be a pair who need to remain together if possible): _________ Is there a preferred activity level for a dog you would want to foster? ______________________________ Please describe your level of experience as a dog owner, and provide an honest assessment of your abilities to recognize and deal with any problem behaviors a foster dog might exhibit (i.e. barking, growling, possessiveness of food or toys, chewing, digging, jumping, lack of house training, etc.). __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ **Submission of application does NOT guarantee placement of a foster dog through Houston Dachshund Rescue ** Applicant ___________________________________ Date ______________________________ Co-Applicant ___________________________________ Date ___________________________________ Please print-out & mail application to: Houston Dachshund Rescue Attn: Heather Heywood 7626 Litchfield Lane Spring, Texas 77379 Close Window To Return To Our Website |