NOVA SCOTIAGOLDEN RETRIEVER RESCUE

FOSTER APPLICATION

Name: ______Phone:______

Address: ______

Email:______

Please answer as completely as possible. We will use your information to try to match you with appropriatedogs.

1. Why are you interested in fostering a Golden?

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2. Have you ever fostered a dog before? ______

If yes, when, and for whom? ______

3. Are you interested in adopting a Golden for your household? ______

4. Are you able to foster any type of Golden? (Male, Female, Puppy, Older, Special Needs?)

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5. Are you able to pick up or transport a dog? ______How far can you travel? ______

6. Please describe any experience you have had with Golden Retrievers or with any other breeds. Include formal obedience or other training, and for what length of time?

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7. Describe any medical treatment or special care you’ve provided to pets (clean/medicate ears, administermeds, orthopedic or surgical rehab, clip nails, etc...

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8. Please list all other animals that reside in your home?

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9. Are your pets up to date on vaccinations & heartworm preventative? ______

If no, why? ______

10. Are all your current pets spayed and/or neutered? If not, please explain why.

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11. Do you own, rent or live with parents or another person? ______

IF YOU RENT OR LIVE IN A RESTRICTED CONDO PLEASE PROVIDE US WITH YOUR LANDLORDS NAME AND PHONE # SO WE CAN CALL AND CONFIRM THAT YOU ARE PERMITTED TO HAVE A DOG. ______

12. Number of adults in household? ______Senior Citizens? ______Please list children and their age: ______

13. Do you have frequent visitors? ______

14. Are you employed: full time / part time ______

15. Is anyone home during day? If yes, who? ______

16. How many hours will the dog be alone? ______

17. Where will dog stay when you are away during the day? If the dog will be restricted to a specific area of the house, please describe the area where the dog will be kept.

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18. Have you ever crated a dog? ______Do you own a crate? ______

How many hours per day will the dog be crated? ______

19. Please describe a typical day in you household. Please include what time you leave and return from work.

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20. Where will the dog sleep at night? ______

(Run of the house, crate, basement, outside/doghouse, garage, etc)

21. Do you have a totally fenced & secured yard? ______

Type of fence______Height ______Dimensions ______

22. If no fence, how will dog be contained on your property?

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REFERENCES:Please provide the names & phone numbers of 2 references other than family members:

1. Name & address: ______

E-mail ______Phone: ______

2. Name & address: ______

E-mail ______Phone: ______

Please list the name and phone number of your veterinarian. Please note that we will be calling them.

Do you understand that this animal is the property of Nova Scotia Golden Retriever Rescue Society and you may not adopt it to anyone, give it away, sell it, foster it out to anyone else, abuse it or breed it. You are not permitted to allow anyone else to take this animal without the knowledge AND consent of the rescue organization. / Yes No
Have you ever been convicted of or investigated as in relation to animal abuse; neglect or fined under either the Provincial Dog Act or Municipal Animal Control By-Laws? / Yes No
Have you had a foster application turned down by an animal placement organization? / Yes No
Do you accept that the Rescue group makes no explicit or implicit guarantees in reference to the health, and/or temperament of the animal and that The Rescue group in no way can be held liable with regards to this foster placement.
While the Rescue group makes every effort to place only healthy animals and temper tested animals, we cannot 100% guarantee the health or temperament of any animal and shall not be held responsible for any injuries which may be incurred from the animal, we can not guarantee the temperament and we can not guarantee that the animal is housebroken. / Yes No

By signing below, I confirm that the information I have given is true and that I recognize that any misrepresentation of the facts may result in my losing privilege of fostering a pet. I understand that this application is property of Nova Scotia Golden Retriever Rescue Society and I authorize investigation of all statements on this application. I also permit them to contact any veterinarians whose names are provided.

In addition, I understand the fostering decision is dependent on many factors, including but not limited to the compatibility of the family and home to the individual animal. I understand it is the Nova Scotia Golden Retriever Rescue Society’s prerogative to decide which home is most appropriate and that their decision is final, and therefore I will not argue with the decision. I understand Nova Scotia Golden Retriever Rescue Society has the right to refuse any application

Signed this ______day of ______, 20______

Applicant’s Name (Print)______

Applicant’s Signature______

Applicant’s Address:______

Please note: Should this application be completed via e-mail, the receipt of same will act as signature.Any information you provide us with shall only be shared with the volunteers of Nova Scotia Golden Retriever Rescue Society and no one else.