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Name:
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Email Address:
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Home Phone:
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Cell Phone:
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Street Address:
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City, State & Zip Code
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Occupation
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Place of Employment:
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Work Phone:
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Number of adults in home:
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Number of children in home:
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Age of children (if applies)
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Type of home:
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Do you:
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Own
Rent
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Landlord's Name: (If Applies)
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Landlord's Address: (If Applies)
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Landlord's Phone Number: (If Applies)
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How many dogs are allowed? (If applies):
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What characteristics would you wish to avoid in the foster dog?
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Check the following box regarding the behaviour that you would not tolerate.
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Getting on furniture
Chewing
Jumping
Barking
Potty accidents
Crying/Whining
Barking
Begging
Getting in garbage
Shredding
Other
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If you checked any of the above checkboxes, please explain how you would handle the situation.
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If the foster dog needed medication on a daily basis, would this be an issue for you?
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Yes
No
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Would you be willing to housetrain a dog if necesssary?
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Yes
No
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Do you have a fenced yard?
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Yes
No
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If so, are the fence and gate in good repair and of a type that a small dog could not get out?
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Yes
No
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Please describe the yard and fence in detail (including height and gaps):
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Do you have a swimming pool?
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Yes
No
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Is the pool fenced off from the rest of the yard? (If applies)
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Yes
No
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Do you have a doggie door?
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Yes
No
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If the dog is left outside when you are gone, will he/she have some sort of access into the house?
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Yes
No
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How many hours a day will the dog be left alone?
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How many days a week will the dog be left alone?
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Where, specifically, will the dog be left when alone?
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Where, specifically, will the dog sleep at night?
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If you go away, who will look after and care for your foster dog while you are away? Please list their name and contacts.
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A healthy & happy dog requires regular exercise. Are you willing to provide that?
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Yes
No
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Do you own any other pets at the present time?
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Yes
No
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If so, please list the types of pets, what breeds they are, whether or not they have been spayed or neutered, and any other information you would like to tell us about them, including information about his/her personality:
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Do any of your current pets have any behaviour and/or temperament issues towards other animals? If yes, please explain.
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What pets have you owned in the past & what happened to them?
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For what reason would you consider giving up your pet?
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Cocker Spaniels should never wear shock collars and have known to die from seizures due to such devices. Do you agree to pursue other safer, and more humane ways to modify unwanted behavior?
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I agree
I disagree
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The dog must never be restricted only to the yard, patio or garage and must have access to the inside of your house, and he/she must never be tethered or chained up.
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I agree
I disagree
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The dog must never be left alone tied up in public. There is an epidemic of dogs being stolen from outside of stores/coffee shops when the owners are only inside for a few minutes. The same guardianship measures should be taken like you would for a small child.
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I agree
I disagree
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He/she must also never be transported in the OPEN back end of a pickup vehicle.
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I agree
I disagree
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Please list two non-family references with their phone numbers:
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Please list your veterinarian's name and Contact:
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Have you ever fostered an animal?
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Yes
No
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If so, what type of animal?
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For what organization did u foster for, and for how long?
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Please tell us why you would like to add a foster dog to your home & add any additional comments you feel would help us better understand you and your home as a potential Cocker Spaniel family. Thank you for offering foster care to one of our rescue dogs while they are waiting for someone to adopt them!
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