Wyoming Dachshund and Corgi Rescue
Foster Home Application
Thank you for deciding to become a foster home for our abused, abandoned or neglected Dachshunds and Corgis. In order for us to continue to help those in need we must have foster homes. We are in desperate need of people who are understanding and knowledgeable of the Dachshund and Corgi breeds and personalities. If you are interested in making a difference, please fill out the following application. This could be the most rewarding thing you ever do.
Date
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Age
*
Name of Spouse/Partner
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
*
-
Area Code
Phone Number
Cell Phone Number
*
-
Area Code
Phone Number
Employer
*
Work Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
PayPal if different from Email
Do you live in a:
*
House
Apartment
Condo
Mobile Home
Do you own or rent your home?
*
Own
Rent
Other
If rent, please provide name and phone number of landlord
Does your landlord or HOA allow dogs?
*
Yes
No
Not Applicable
Does your landlord or HOA have any of the following restrictions? Check all that apply
*
Number of pets
Breed restrictions
Weight restrictions
None
Do you have a fully fenced yard?
*
Yes
No
Other
If Yes, type and height of fence
*
if no fence, state n/a in box
Do you have any of the following? Check all that apply
*
Outdoor kennel(s)
Electronic fence
Dog Run
None of these
How many adults are in your household?
*
How many children in your household?
*
If children, what are there ages?
*
If no children, state n/a
Back
Next
Do you currently have a dog or dogs in your home?
*
Yes
No
Do you currently have a cat(s) in your home?
*
Yes
No
If yes, list each dog(s) or cat(s) breed, sex, weight, age and name
*
Are your pets spayed or neutered?
*
No
Yes
Not applicable
If NO, please explain
Are you current pets up to date on Rabies, Bordetella, Parvo and Distemper vaccines?
*
Yes
No
Not Applicable
If NO, please explain
Are your current pet(s) on monthly heartworm prevention?
*
Yes
No
Not Applicable
If NO, please explain:
Back
Next
What breed of dog do you prefer to foster
Dachshund or mix
Corgi for Corgi mix
Either
Current Veterinary Clinic
*
Name on Veterinary Account
*
Veterinarian Phone Number
*
-
Area Code
Phone Number
If you have current pets, are they good with bringing a new dog into the home temporarily?
*
Yes
No
If no, please explain
Describe the activity level of your home
*
ex: busy in and out, quiet, calm, hectic etc.
How many hours would the foster dog be alone during the day?
*
Where will the foster dog spend the day?
*
Where will the dog sleep at night?
*
Have you fostered for a rescue or shelter previously?
*
Yes
No
If Yes, please give name of rescue/shelter and contact information
Name of rescue/shelter; phone number; email address
Are you willing to foster any of the following? Check all that apply
*
Senior
Special needs
Not good with children
Behavioral Issues
Heartworm Treatment
Medical or Hospice
Puppies
Pregnant dog
Describe any experience you have had in training and/or rehabilitation with dogs.
If necessary, would you be willing to take a foster to obedience training (WDCR’s expense with preapproval) or to obedience train him yourself?
Yes
No
Maybe
Back
Next
Personal References
Personal Reference 1
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Email
example@example.com
Personal Reference 2
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
-
Area Code
Phone Number
Cell Phone
-
Area Code
Phone Number
Email
example@example.com
Back
Next
I understand that WDCR, Inc. will be responsible for any medical, training, or other approved expenses associated with the foster dog in my care. I understand that by signing this form, I agree to release and covenant to hold harmless WDCR, Inc. and its members from any claims, damages, costs, or actions including any financial costs from bites or injury to family or visitors or injury to other animals incurred as a result of the foster care or actions of the foster dog. I understand I am bringing in a dog that WDCR does not always know the history on and I will use extreme caution and exercise good judgment when exposing the foster dog to my own animals, neighbor animals, family members and visitors since it is possible that a foster dog, until fully assessed, may demonstrate behaviors that need to be monitored. I will notify WDCR immediately should the foster dog become lost, stolen, seriously ill or die. The foster dog will wear a WDCR ID tag* and a rabies tag at all times. I understand that should I decide within the first 30 days (or in the case of a pending application, foster home has first refusal) of foster care to permanently adopt the WDCR foster dog in my care, I will pay WDCR the adoption fee. I certify that I am at least 21 years of age and that I will be solely responsible for the care and well being of any dog that I foster care for WDCR. Any misrepresentation of the true facts in this foster home application will invalidate the foster home agreement and will give WDCR the right to immediately reclaim the foster dog.
**WDCR ID tags are issued if available.
Signature
Clear
Submit
Signature ________________________________________________
Should be Empty: