Talk -
HV –
Dogs Trust Puppy Foster and Socialisation Scheme
Application Form
Personal
Date:Name:
Address:
Telephone No. Day: / Eve: / Mobile:
Address
Household Members
Please state the number of adults in your household:Please state the number of children in your household:
Please give their ages:
Please give details of any other household member or regular visitors, especially children:
Are you expecting or planning a baby? If so how many weeks?
How long would the dog be left on its’ own on an average day?
NB. If you are expecting a baby we are unable to foster stray and abandoned pups with you due to the risk to you and the unborn baby because of zoonotic diseases and parasites.
Property
Yes / NoWould you be willing to take a puppy home for a period of up to 8 weeks?
If ‘no’ – how long would you be in a position to care for a puppy?
Are you allowed to have a dog in your accommodation under the terms of your tenancy agreement?
Do you have a secure garden/outside area?
Would you be happy for a representative from Dogs Trust to inspect your property?
Animals
Yes / NoDo you have other dogs
If so how many? / Males / Neutered:
Females / Neutered:
Vaccination Status - Booster date -
- Kennel Cough Vaccine date -
What breeds are they?
How do they behave with other dogs?
Do you have any other animals?
If yes please give details:
Would you be willing to bottle feed very young puppies?
If yes please give details of relevant experience:
If you don’t have a dog, who would be the closest vet to you in case of emergency?
General
Please give details of previous experience with dogs:Yes / No
Would you be able to keep a written record of the dog’s progress and liaise with the puppy foster co-ordinator?
Yes / No
Are you a driver?
Are you willing to use your own car to transport the dog/s?
Are you willing to bring the puppy back to the re-homing centre to see the vet for vaccinations/other treatment?
Are you able to attend a welcome meeting/training course?
Please give the names and telephone numbers of two people we can ask for references. These should be able to provide us with information about your reliability and/or your experience with dogs.
Reference 1:Name:
Address:
Telephone Number:
Reference 2:
Name:
Address:
Telephone Number:
Please add any further information which you feel may be relevant:
Please return the completed application form to:
Operations Manager / Foster Co-Coordinator
Dogs Trust
Ashbourne Road
Finglas
Dublin 11