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Mission Critical, Foster Homes Needed!

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Foster Home Application

Name:
If married, Spouses Name:
Street Address:
Apartment Number:
City:
State:
Zip:
What area of Houston:
Home Phone:
Occupation:
Work Phone:
Cell Phone:
E-mail Address:

1. Do you live in a House    Apartment    Condo    Mobile Home

Do you rent or own your residence? Rent    Own

If you rent, do you have the landlord's permission to keep a dog? Yes    No

Do you have a yard? Yes    No

If yes, is the yard fenced?    Yes    No

Describe the height and type of fencing (wood, chain, other):


2. Is someone home during the day? Yes    No

3. What provisions will be made for your Foster Collie if nobody is home during the day?

4. Please explain where the Foster Collie will sleep?

5. Please give a detailed response to a yes answer given to any of the following questions.

During the past two years have you lost a pet (not through death)?


During the past two years have you had a pet poisoned?


During the past two years have you had a pet killed by a vehicle?


During the past two years have you had a pet die due to disease? If so, what disease(s)?

6. Do you have children at home? Yes    No

If yes, please list the age of each child:

7. Do you have any other pets at home? Yes     No

If yes, list the number of pets and ages for each:


8. If yes, are the pets spayed/neutered? If resident pets are not spayed/neutered, please explain as HCR prefers not to place our dogs into unneutered homes. This will help us determine which Collie to put into a potential new foster home.

9. If yes, are the pets vaccinated and on heartworm preventative? Yes    No

Name and phone number of your Vet:


What name are medical records listed under at the Vet's Office?


10. Do your pets get along with other animals? Yes No

11. Houston Collie Rescue will provide all medical care, hearworm and parasite preventative. Are you prepared to assume the responsiblities of feeding, bathing, grooming and caring for your Foster Collie, including emotional rehabilitation for a traumatized dog and crating for a dog going through heartworm treatment?
Yes No

12. Will you follow all Veterinarian instructions provided and administer all prescription medications and heartworm preventative to your Foster Collie? Yes No

13. Are you prepared to keep your Foster Collie crated if going through heartworm treatment? Yes No

14. Are you prepared to assume the responsibilities of contacting Houston Collie Rescue Coordinators for any medical emergencies? (For example, if a dog is going through heartworm treatment and begins throwing up and becomes listless, this may be an emergency.) Yes No

15. Will you let Houston Collie Rescue Coordinators know if you are planning to take your Foster Collie out of town or state for family visits or recreation? Yes No

16. Though Houston Collie Rescue does not accept vicious dogs into our program, we do not know the histories of many of our rescues. Are you prepared to contact Houston Collie Rescue immediately if your Foster Collie bites anyone or seriously injures another pet? Yes No

17. Will you keep the dog confined in a fenced yard when let outdoors, walk/exercise the Foster Collie regularly and allow the dog indoors? Yes No

18. Do you understand that Collies are known for being "barkers"? Yes    No

19. Do you understand that Collies can be shy and aloof with new people? Yes    No

20. Do you understand that Houston Collie Rescue Coordinators may place your Foster Collie in an adoptive home? Yes    No

21. Foster parents are encouraged to maintain an "Aunt" or "Uncle" relationship with the Collie in their care. However, occasionally, the foster parent and teh Collie will bond so completely that adoption into this home is best for the Collie and family. Do you understand that, if you wish to adopt your Foster Collie, you must complete the Adoption Application, agree to the Terms of Adoption and pay the adoption fee of $250.00 for all dogs age 1-9, $125 for dogs 10+, and $275 for all puppies under 12 months ? Yes    No

22. Are you willing to allow a Houston Collie Rescue Coordinator to visit your home by appointment?
Yes    No

23. How did you hear about Houston Collie Rescue?

I am in full agreement with Houston Collie Rescue Foster Care Responsibilities and agree with the Terms of Fostering. By selecting "YES" below I am attesting to the truthfulness of my answers.

Yes, I Agree With These Terms And Conditions.

   
     
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