Foster Application 1Contact Information2Additional Information3References & Pet Information4Housing Information5Your Family6The Foster Dog7Agreement Name(Required) PrefixDr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Middle Last Address(Required) Street Address Address Line 2 City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Primary Phone(Required)Alternate PhoneEmail(Required) Facebook Name Employer Employer Phone Number Why do you want to become involved in the ACDR?Please explain your history, involvement, and experience with Dachshunds.Have you had pets in the past? If so, please describe.Please list pets you currently have. Include the following information in your list: type/breed, sex, age, owned since, comments on personality of each animal.Are your current pets spayed/neutered? If no, please explain.What are your personal beliefs on spaying and neutering?Are your pets up-to-date on vaccinations and heart worm tests/preventative? Yes No What is your opinion regarding euthanasia?Do you breed or have you ever bred dogs or any other companion animals? Why or why not?Have you ever been convicted of a felony or misdemeanour involving mistreatment of animals? Provide details.Have you ever been denied privileges by the CKC, AKC, any Dachshund Club or other rescue organization? If yes, please provide details.Do you belong to any other rescue organizations currently? In the past? Please provide details.If you have been doing rescue independently, how long have you been doing so? What was your fee structure? Did you use an application format? How many dogs did you place?Are you willing to transport a dog? If so, what mile/kilometre radius from your home? ReferencesPlease provide us with at least two references in addition to your vet. We are looking for individuals who can provide us with information about your suitability as a volunteer for ACDR.Reference #1Reference #2Reference #3Would your currents pets accept a new dog?Where are your pets during the day when no one is at home?Where do your pets eat?Where do your pets sleep?Where are your pets when you are at home?If you travel, what arrangements do you make for the care of your pets? Housing InformationDo you own or rent your home? Rent Own Housing type House Condominium Apartment If you rent, is your landlord agreeable to your having a dog? Yes No If renting, please provide landlord's name, address, and telephone number. We require written consent stating that you are permitted to have a foster dog on the premises. Please include this consent with your completed application.Do you have a securely fenced yard? Yes No What type of fencing? (please describe in terms of material and height)If you don't have a fence, are you willing to fence, install an exercise run or leash walk at all times? Please indicate which of the above would apply to you. Your FamilyHow many adults are in your home?Children?Please list the name, age, and relationship of all the people living with you.Is everyone living in the home agreeable to having a foster dog?Do other children visit your home?How would you describe the activity level of your household? i.e. quiet, structured, busy, hectic etc...What are the working hours of the adults in the household?Who would care for the foster dog when the adult(s) are not home?If the child is under 12 years of age, would you provide constant supervision of the child/dog and never leave them unattended together?Does anyone in your home have allergies? Please describe. The Foster DogDachshunds vary greatly in temperament, personality and activity level. Please keep this in mind as you fill out this section and provide us with as much information as possible and carefully consider your answers.Have you ever owned/lived with a Dachshund?What characteristics would you use to describe a Dachshund?What characteristics would you find desirable in a foster Dachshund?What characteristics would you find undesirable in a foster Dachshund?Would you accept a Dachshund that: Is older? Has been abused? Not reliable with children? Has a behavioural issue? Partly or not housetrained? Has physical disabilities? Has separation anxiety? Exhibits fear aggression? Is pregnant or whelping? Has a dominance issue? Has a strong prey drive? Has medical condition? How long would you expect your fostering term for any one dog to last?Would you be willing to foster the dog until a permanent home is found?Many rescue Dachshunds have problems with fearfulness, fear aggression, separation anxiety, and house training to name a few. Would you be willing to help retrain a dog following a specific behavioural remediation program that included support from a trained professional. Elaborate if necessary.If necessary, would you be willing to take a foster dog to obedience training?Have you ever housebroken a puppy or dog?How would you approach housebreaking a dog? Please explain in detail.What forms of discipline do you feel are appropriate for training or modifying behaviour in a dog?Would you be willing to transport a foster dog to veterinarian appointments?Comments and/or questions? The following statements must be read very carefully and agreed to. By placing my initials after certain statements and my name and date at the bottom of the form:(Required) I agree to the followingI also understand that by signing this form I agree to release ACDR and its members from any claims, damages or costs incurred as a result of the foster care or actions of the foster dog. I will notify ACDR immediately should the foster dog become lost, stolen, ill or die. I agree to contact the Foster Coordinator at least once per week to update them on the condition and well-being of the foster dog. ACDR does not condone training or behaviour modification through any form of physical violence. All foster dogs must wear an ID collar with the Foster Coordinator’s phone number. This ID tag will be provided to the foster upon initial intake of the dog. This ID tag must be on the dog at all times. The foster home agrees to provide ACDR approved food for the foster dog. Costs of this food, as well as basics such as leash, collar, bed, etc will be covered by ACDR. ACDR reserves the right to take the dog off the premises at any time. Note: if ACDR judges the foster dog to be in danger, this signed document releases ACDR to remove the dog from said premises without warning.Third agreement section(Required) I agree to the following(Required)The Foster understands that by accepting a dog into rescue, as an agent of ACDR, that dog becomes the legal property of ACDR. Any approved vetting or adoption fees paid for out of pocket have been done so as an agent of ACDR and does not entitle the Foster to ownership of the dog. These expenses will be reimbursed by ACDR upon receipt.Fourth agreement section(Required) I agree to the follwing.(Required)The Foster understands that if they wish to adopt any ACDR dog, proper adoption procedure must be followed and if there is a waiting list for said dog, they will be put on the waiting list like all applicants. Special circumstances will be considered by the ACDR Board of Directors. The foster home understands that ACDR cannot predict the behaviour of any dog in any situation. ACDR will provide any relevant information on the dog’s history and temperament that is known. This information may or may not be a reliable indicator of how the dog will behave in a new environment. By typing my initials and my name as signature, I certify that I am at least 21 years of age and that I will be solely responsible for the care and well-being of any dog that I foster for ACDR. Any misrepresentation of the true facts in this application will invalidate the foster home agreement and will give ACDR the right to immediately reclaim the foster dog.Date(Required) YYYY dash MM dash DD Signature(Required)You can use your mouse or if you're on a phone or tablet, you can use the touch screen to sign your name here.CommentsThis field is for validation purposes and should be left unchanged. Facebook Twitter Instagram Follow us here
