Name
Address
City
State
Alabama
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Idaho
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South Carolina
South Dakota
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Zip
Phone (day)
Phone (night)
Cell
Best time to call
Email (home)
Email (office)
Name of secondary care provider
Phone (day)
Phone (night)
Cell
Email for secondary care provider if different from above
Name, age, date of birth and occupation of all members of the household
Briefly describe the personality of each member of the household
List of members whose age or health is in question
Will children under the age of 10 ever be without adult supervision?
yes
no
maybe, under the following conditions:
Do you know of any problems for the children or for the dogs?
List all dogs owned now
(name, breed, sex, age, altered, health, medical problems)
Personality traits of each dog in your household
Do they do well with other dogs?
yes
no
additional comments:
List other pets you own
(name and type, etc)
What other dogs have you owned and what happened to them?
List all dogs you have previously fostered
(name, breed, sex, age, altered, health, medical problems)
Where are these dogs now?
Do you groom your dogs or use a groomer?
yes
no
Lucky Star rescues will require extensive housetraining. Are
you able to devote the time, patience and consistency this commitment
will demand?
yes
no
maybe, under the following conditions:
Are you willing/able to foster long-term (one month or more if
needed)?
yes
no
maybe, under the following conditions:
Are you able to provide a crate for this dog for short periods
of time when you are away from home?
yes
no
maybe, under the following conditions:
Do you have a doggy door?
yes
no
Do you have a fenced in yard?
yes
no
Will you accept a dog that has treatable medical problems?
yes
no
maybe, under the following conditions:
Do you have any special training or experience in this regard?
yes
no
Will you accept a dog that is shy or fearful?
yes
no
maybe, under the following conditions:
Do you have any additional experience or training that might
be helpful in working with a shy or abused dog?
yes
no
Are you willing and able to begin teaching basic obedience commands
(i.e., come, sit, stay, no)?
yes
no
Where will this dog be kept during the day?
Where will this dog be kept during the night?
Where will the dog sleep?
How long will the dog be alone each day?
How many dogs would you feel comfortable fostering in your
home at one time?
Would you be willing/able to complete home visits for prospective
adoptors?
yes
no
If so, within what driving radius?
Would you be willing/able to help with transporting dogs to forever
homes?
yes
no
If so, within what driving radius?
What is your reason for wanting to foster?
Personal Reference
Reference:
Name:
Address:
Phone Number:
Email:
How long have you known this person?
Veterinary Reference
Clinic name:
Doctor's name:
Address:
Phone:
Email:
Does your vet give a discount to rescue groups?
How long have you used this vet?
Does this vet have boarding facilities?
Foster Agreement
I (We) agree to accept responsibility for any
and all events that occur in connection with the fostering of
a rescue. I
(We) agree to release, indemnify, and hold harmless, Lucky Star
Cavalier Rescue, its agents, members, officers, volunteers or
employees, from any and all claims, known and unknown, now or hereafter,
arising in connection with the rescue dog.
I (We) also understand that many of these dogs have lived
in a neglectful and/or abusive environment, and have probably lost
their self-esteem and confidence. I (We) understand that this dog will
need rehabilitating to become the warm, loving companion every dog
should be. I (We) agree to provide the loving environment, the
socialization, and the training that this dog will need to become
a beloved member of a family.
I (We) agree to comply with all state and local laws and ordinances
relating to the temporary fostering of this dog.
I (We) understand that the rescue has been fully evaluated
by a veterinarian. Excepting a bona fide emergency, I (We)
agree to obtain prior approval from Lucky Star Cavalier Rescue
for any additional medical attention believed necessary.
I (We) agree to transition the rescue into his adoptive
home as quickly and as successfully as possible. I (We)
will complete an evaluation of the dog’s personality, behavior
and temperament, and provide the adoptive family with a copy
of this assessment.
I (We) agree to work with Lucky Star Cavalier Rescue as much
as possible in determining a suitable adoptive home for this rescue.
Primary caregiver Driver’s License No./State of Issue
Secondary cargiver Driver’s License
No./State of Issue