Name
*
First Name
Last Name
Address
*
P.O. boxes are not accepted
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
Best number you can be reached
(###)
###
####
Preferred contact method
*
Phone
Text
Email
What is the best time to reach you?
*
Check all that apply.
Anytime
Weekends Only
Weekday Mornings
Weekday Afternoons
Mornings
Evenings
What is your age group?
*
Fosters must be 21 years old, due to liability insurance. Minors are welcome and encouraged to assist in the fostering process, guided by the adult foster parent.
21-30
31-45
46-59
60+
Have you ever been convicted of a crime (felony or misdemeanor) other than a traffic violation?
*
Yes
No
If yes, please include any additional information you feel may be important
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Type of Household
*
House
Apartment
Other
If other, please specify
Where would the foster dog(s) be kept?
*
Does your household have a yard, is it fenced?
*
Yes, it's fenced
Yes, it's not fenced
No yard
Does your household require access to stairs or elevators?
*
Yes
No
Does your household have direct access to a pool, is it fenced?
*
Yes, it's fenced
Yes, it's not fenced
No pool
Is your household a smoke-free home?
*
Yes
No
Are all people living in your home in favor of adding a pug into the household?
*
Yes
No
Are there ever any children in the home?
*
Including visitors
Yes
No
If yes, what are their ages?
Number of pets that live in your home
*
If yes, please provide a list of pets
Please provide the following information for each pet: name, breed/species, gender, age, wether they are spayed/neutered
If you have dogs living with you, are they current on immunizations and heartworm test?
*
Yes
No
No dogs
Are your dog(s) on a heartworm preventative?
*
Yes
No
No dogs
If there are dogs in the home, are they spayed or neutered?
*
Yes
No
No dogs
Clinic Name
Clinic Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Clinic Phone
(###)
###
####
Why did you decide to foster this breed?
*
Pugs are full-time indoor dogs, will you be able to accommodate your pug in this manner?
*
Yes
No
Are you aware that pugs shed and snore?
*
Yes
No
Have you cared for dogs in the past?
*
Yes
No
Have you ever turned in an animal to a shelter?
*
Yes
No
If yes, what were the circumstances?
Can you provide food for the foster dog(s)?
*
Yes
No
Have you ever cared for an animal through the following?
*
Check all that apply
Kennel Cough/Upper Respiratory Infection
Ringworm
Eye infections and/or ear infections
Broken bones/surgeries on hips or knees
Under socialization
Separation anxiety
None of the above
If necessary, are you available to transport your foster dog(s) in the Dallas-Ft. Worth area for vet clinic appointments, meet and greets with approved applicants, etc.?
*
Yes
No
Will need to discuss
Heartworm preventative will be provided. Are you willing to administer each month?
*
Yes
No
Will need to discuss
If necessary, are you able to administer any other medication provided by a veterinary clinic?
*
Yes
No
Will need to discuss
Are you a foster, volunteer or employee with any other animal rescue organization(s)?
Yes
No
If yes, name the organization(s).
When are you planning to be ready to foster?
*
Now
Within the next 30 days
In a few months
How long can you foster?
*
A few days
A few weeks
As long as needed
Vacation and respite care only
What ages of pugs can you foster?
*
Check all that apply
Puppy (0-1yr)
Adult (2-7yr)
Senior (8yr+)
What is your occupation?
*
How many hours could your foster be left alone?
*
Today's date
*
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