Foster Application

Dachshund Rescue Of Bucks County & NJ

Foster Application

Name*

First Name Last Name

Email*

Please tell us how you plan to assist doxie and doxie mixes in need:*

I am interested in the Medical Fostering Program
I am interested in the Regular Fostering Program
I am interested in the GrandPaws/Sanctuary Program

Street Address

Address Line 1 Address Line 2 City State ZIP Code

County of Residence*

Cell/Mobile Phone Number

Home Phone Number

Years at Current Address

Do you Rent or Own?

How many adults are in your household?

Occupations

How many children are in your household and what are their ages?

What type of area do you live in?

What type of housing?

If you rent or lease, do you have permission from your landlord to own a dog?

Would you consider fostering a pair? (this is the addition of 2 additional dogs to your household )

What other dogs have you owned and what became of them?

What do you know about the Dachshund breed?

Do you have a fenced yard? List height and type of fencing.

If you don't have a fence, where and how will the dog be exercised and allowed to eliminate?

What member of the family will be taking the MAJOR responsibility for caring for this pet?

What are the major activities, hobbies, or exercises you and your family most participate in?

Do you have Grandchildren?

Yes, and they live with me
Yes, and they visit frequently
Yes, but they visit infrequently [holidays, once a year, vacations, etc]
Yes, but they are adults, so don't worry
None yet
Other:

How active is your home on a daily basis?

Very Quiet
Active On Weekends
Active on Holidays and at Special Times
Fairly Active
Very Active
Other:

If you move, what will you do with your dog?

Name of Veterinary Practice

Street Address (veterinarian)

Address Line 1 Address Line 2 City State ZIP Code

Phone Number (veterinarian)

Contact your veterinarian and give Dachshund Rescue of Bucks County & NJ permission to request any and all files and records needed to process this application.

Have you ever Adopted or Fostered with DRBC in the past?

Adopted from DRBC
Fostered with DRBC

List any animal rescue organization with which you volunteered in the past.

Veterinary Records Release

I hereby authorize Dachshund Rescue of Bucks County & NJ to request from my veterinarian any and all files and records as required to process my application.

Are all animals in the home current on vaccinations?

Are all animals in the home spayed or neutered?

How many months of the year do you use heartworm medication? If less than 12 mos, explain why.

May we call your Veterinarian and ask how you take care of your animals? If not, why not.

What are your plans and goals for this dog?

How many hours a day will the dog be left alone and where will the dog be left?

Where EXACTLY will the dog sleep at night?

When going on vacation, where will your dog go and who will care for it?

Have you ever trained a dog in obedience? Would you consider taking your dog to an obedience class?

Will the dog live in your home?

List other pets currently in your home

Reference 1

First Name Last Name

Street Address (reference 1)

Address Line 1 Address Line 2 City State ZIP Code

Email (reference 1)

Phone Number (reference 1)

Reference 2

First Name Last Name

Street Address (reference 2)

Address Line 1 Address Line 2 City State ZIP Code

Email (reference 2)

Phone Number (reference 2)

How did your hear about DRBC?

I certify that I am 21 years of age or older and I understand that the completion of this application does not guarantee the placement of any animal by DRBC with me or my family.*

Please type your full and legal name in the space provided. Understand that this will act as a signature for this application.

Date of Application

Comments

This field is for validation purposes and should be left unchanged.

Welcome to the Online Application!