PAPILLON PALS RESCUE - REPRESENTATIVE / FOSTER HOME APPLICATION
Personal Information
Name:
Date of Birth:
Address:
City / State / Zip:
Email Address:
Do you check your email daily? Yes No
Phones-Home: Work:
Cell: FAX:
Drivers License # W/ state (or SS#)
Please tell us briefly why you want to be a foster parent.
If you have a significant other, does that person approve of your involvement with our organization? Yes No
Do you belong to any animal rescue groups? Yes No
If so, which groups and what type of animals are rescued.
Do you foster animals for these groups?
Have you read Papillon Pals Rescue Procedures document on the yahoo site?
Any questions or suggestions about these procedures?
Any thoughts about the types of toy dogs we should rescue?
In what area can you help Papillon Pals Rescue? (Check all that apply)
Hold down the Ctrl button to select multiple areas.
Do you have any special skills or interests that you are willing to utilize to help the group? (i.e. vet, vet tech, animal therapy, trainer, nutrition, holistic
remedies, lawyer, photographer, writer)
If you are willing to foster, what level of foster home are you comfortable providing?
(Check all that apply) Hold down the Ctrl key to select multiple levels.
Are there any characteristics you would NOT want to deal with in a foster?
Have you had any experience with dogs that snap or bite? Yes No
What would you do if your foster dog snapped or bit?
Have you had any experience with extremely fearful or timid dogs? Yes No
Do you have any special training or experience in working with dogs? (Please specify)
Are you able to housetrain a dog? Briefly describe method used.
Are you able to administer medication in a timely manner? Oral meds? Injections? Yes No
Have you ever owned a toy or small dog before? Yes No
Are you aware of all a toy dog’s needs? (i.e., daily teeth brushing, routine bath and nail trim daily exercise) Yes No
Are you aware that some toy dogs are "barkers"? Yes No
Would this cause difficulty for you, your family, or your neighbors? Yes No
Are you aware that some toy dogs have house soiling or behavior issues and may require constant supervision
such as staying on leash in the house to eliminate old behavior patterns? Yes No
Have you ever used positive reinforcement or clicker training? Yes No
Have you ever raised a puppy? Yes No
Employer: (If Applicable)
Hours you are at work:
May we call you at work? Yes No
Is anyone home during the day? Who and for how long?
If not, what hours would this dog be alone?
Where will a foster dog stay during the day, while you are at work or away from the house?
Residence Info
Who lives in your home? (all adults and children with ages)
Do any children visit your home? If so, please list relationship, age, and frequency:
Do you live in a house? apartment? condo/townhome? mobile home? other?
Do you own or rent?
If renting, does the landlord allow pets? Yes No
Name, address and phone number of your landlord:
Do you have a yard for the dog to use? Yes No
Is it fenced on all sides? Please describe fence.
Is it escape-proof for a toy-size dog? Yes No
(check areas along bottom of fence, at gate openings, and between spaces of wooden pickets/slats).
Does a door from your house open directly into the fenced yard? Yes No
If not, how will you exercise the dog outdoors safely?
Is the area where you live and your backyard safe from predators (birds of prey, foxes, coyotes, etc.)
or can you stay with a dog while it is eliminating outside? Please explain.
Lifestyle
Please state the circumstances at home and around your home:
Busy household (visits by friends, in and out a lot, children, parties at home), Noisy (TV, stereo, machinery, tools, children playing, dogs barking),
Moderately active household (normal comings and goings), Quiet Household (home most of the time, few guests, no children, quiet pets),
Lots of children in the neighborhood, Live on busy street
Family Pet(s) Info
(Please tell us about ALL your current pets.)
Breed/species
Age/Spayed/neutered?
Indoor/outdoor?
Personality/Temperament?
If your current or previous pets are not spayed or neutered, please explain why.
If you have dogs, are they completely housetrained? Yes No
Do you keep all of your pets current on vaccinations? Yes No
Do you keep all your pets on Heartworm preventative? Yes No
Which brand/where do you purchase?
Do you keep all your pets on flea/tick preventative? Yes No
Which brand/where do you purchase?
Are pet licenses required in your city/county? Yes No
Do your pets carry a form of ID (collar tag, tattoo, or microchip)? Yes No
Pet Care & Housing Info
Do you intend to keep this dog primarily indoors or outdoors?
Will you use a crate for the dog? Yes No
What supplies do you have on hand for a foster dog: (Hold down the Ctrl key to check all that apply)
Exercise pen (how tall?)
Other, please specify.
What diet do you prefer for your dogs?
Are you willing to follow our recommendations if necessary? Yes No
Will you allow a home visit prior to approval as a foster home? Yes No
Will you help to screen and interview perspective adopters when the time comes? Yes No
References
Name, address and phone number of your veterinarian:
Please provide two personal references who are not related to you (name, phone number). Please notify these references that Papillon Pals Rescue will
be contacting them.
1.
2.
By initialing below you agree and understand that you will be the temporary guardian of a foster dog and that this dog will remain the property of Papillon
Pals Rescue, Inc.? That if for ANY reason what so ever, you feel you must remove the foster dog from your home, then that foster dog must be returned
to Papillon Pals Rescue, Inc. or its designated representative, unless Papillon Pals Rescue, Inc. agrees in writing to an alternative solution. The foster
home system is not a prelude to adoption of your foster dog. However, the foster home has the right to adopt the rescue with the approval of Papillon
Pals Rescue, Inc. after a foster period of no less than 3 weeks at which time you will have to go through the adoption procedure.
Initial
I agree that I will not initiate or participate in any claim, lawsuit, or administrative proceeding against Papillon Pals Rescue, Inc. in connection with any
damages that may be caused by a dog in my care from biting, scratching or otherwise causing injury to myself, any other person, or any property.
SIGNATURE DATE
Typing your name to this electronic form constitutes your consent and signature.
Please submit this completed form upon completion
Should you so choose, you may print this completed original signed document and mail to the following address:
Papillon Pals Rescue, Inc., c/o Linda Lucas, 13335 Mt Pleasant Road, Jacksonville, FL 32225
THANK YOU FOR YOUR INTEREST IN FOSTERING A RESCUE DOG!
**Papillon Pals Toy Dog Rescue, Inc. is a nonprofit organization under Internal Revenue Code section 501 (c)(3)**
Personal Information
Name:
Date of Birth:
Address:
City / State / Zip:
Email Address:
Do you check your email daily? Yes No
Phones-Home: Work:
Cell: FAX:
Drivers License # W/ state (or SS#)
Please tell us briefly why you want to be a foster parent.
If you have a significant other, does that person approve of your involvement with our organization? Yes No
Do you belong to any animal rescue groups? Yes No
If so, which groups and what type of animals are rescued.
Do you foster animals for these groups?
Have you read Papillon Pals Rescue Procedures document on the yahoo site?
Any questions or suggestions about these procedures?
Any thoughts about the types of toy dogs we should rescue?
In what area can you help Papillon Pals Rescue? (Check all that apply)
Hold down the Ctrl button to select multiple areas.
Do you have any special skills or interests that you are willing to utilize to help the group? (i.e. vet, vet tech, animal therapy, trainer, nutrition, holistic
remedies, lawyer, photographer, writer)
If you are willing to foster, what level of foster home are you comfortable providing?
(Check all that apply) Hold down the Ctrl key to select multiple levels.
Are there any characteristics you would NOT want to deal with in a foster?
Have you had any experience with dogs that snap or bite? Yes No
What would you do if your foster dog snapped or bit?
Have you had any experience with extremely fearful or timid dogs? Yes No
Do you have any special training or experience in working with dogs? (Please specify)
Are you able to housetrain a dog? Briefly describe method used.
Are you able to administer medication in a timely manner? Oral meds? Injections? Yes No
Have you ever owned a toy or small dog before? Yes No
Are you aware of all a toy dog’s needs? (i.e., daily teeth brushing, routine bath and nail trim daily exercise) Yes No
Are you aware that some toy dogs are "barkers"? Yes No
Would this cause difficulty for you, your family, or your neighbors? Yes No
Are you aware that some toy dogs have house soiling or behavior issues and may require constant supervision
such as staying on leash in the house to eliminate old behavior patterns? Yes No
Have you ever used positive reinforcement or clicker training? Yes No
Have you ever raised a puppy? Yes No
Employer: (If Applicable)
Hours you are at work:
May we call you at work? Yes No
Is anyone home during the day? Who and for how long?
If not, what hours would this dog be alone?
Where will a foster dog stay during the day, while you are at work or away from the house?
Residence Info
Who lives in your home? (all adults and children with ages)
Do any children visit your home? If so, please list relationship, age, and frequency:
Do you live in a house? apartment? condo/townhome? mobile home? other?
Do you own or rent?
If renting, does the landlord allow pets? Yes No
Name, address and phone number of your landlord:
Do you have a yard for the dog to use? Yes No
Is it fenced on all sides? Please describe fence.
Is it escape-proof for a toy-size dog? Yes No
(check areas along bottom of fence, at gate openings, and between spaces of wooden pickets/slats).
Does a door from your house open directly into the fenced yard? Yes No
If not, how will you exercise the dog outdoors safely?
Is the area where you live and your backyard safe from predators (birds of prey, foxes, coyotes, etc.)
or can you stay with a dog while it is eliminating outside? Please explain.
Lifestyle
Please state the circumstances at home and around your home:
Busy household (visits by friends, in and out a lot, children, parties at home), Noisy (TV, stereo, machinery, tools, children playing, dogs barking),
Moderately active household (normal comings and goings), Quiet Household (home most of the time, few guests, no children, quiet pets),
Lots of children in the neighborhood, Live on busy street
Family Pet(s) Info
(Please tell us about ALL your current pets.)
Breed/species
Age/Spayed/neutered?
Indoor/outdoor?
Personality/Temperament?
If your current or previous pets are not spayed or neutered, please explain why.
If you have dogs, are they completely housetrained? Yes No
Do you keep all of your pets current on vaccinations? Yes No
Do you keep all your pets on Heartworm preventative? Yes No
Which brand/where do you purchase?
Do you keep all your pets on flea/tick preventative? Yes No
Which brand/where do you purchase?
Are pet licenses required in your city/county? Yes No
Do your pets carry a form of ID (collar tag, tattoo, or microchip)? Yes No
Pet Care & Housing Info
Do you intend to keep this dog primarily indoors or outdoors?
Will you use a crate for the dog? Yes No
What supplies do you have on hand for a foster dog: (Hold down the Ctrl key to check all that apply)
Exercise pen (how tall?)
Other, please specify.
What diet do you prefer for your dogs?
Are you willing to follow our recommendations if necessary? Yes No
Will you allow a home visit prior to approval as a foster home? Yes No
Will you help to screen and interview perspective adopters when the time comes? Yes No
References
Name, address and phone number of your veterinarian:
Please provide two personal references who are not related to you (name, phone number). Please notify these references that Papillon Pals Rescue will
be contacting them.
1.
2.
By initialing below you agree and understand that you will be the temporary guardian of a foster dog and that this dog will remain the property of Papillon
Pals Rescue, Inc.? That if for ANY reason what so ever, you feel you must remove the foster dog from your home, then that foster dog must be returned
to Papillon Pals Rescue, Inc. or its designated representative, unless Papillon Pals Rescue, Inc. agrees in writing to an alternative solution. The foster
home system is not a prelude to adoption of your foster dog. However, the foster home has the right to adopt the rescue with the approval of Papillon
Pals Rescue, Inc. after a foster period of no less than 3 weeks at which time you will have to go through the adoption procedure.
Initial
I agree that I will not initiate or participate in any claim, lawsuit, or administrative proceeding against Papillon Pals Rescue, Inc. in connection with any
damages that may be caused by a dog in my care from biting, scratching or otherwise causing injury to myself, any other person, or any property.
SIGNATURE DATE
Typing your name to this electronic form constitutes your consent and signature.
Please submit this completed form upon completion
Should you so choose, you may print this completed original signed document and mail to the following address:
Papillon Pals Rescue, Inc., c/o Linda Lucas, 13335 Mt Pleasant Road, Jacksonville, FL 32225
THANK YOU FOR YOUR INTEREST IN FOSTERING A RESCUE DOG!
**Papillon Pals Toy Dog Rescue, Inc. is a nonprofit organization under Internal Revenue Code section 501 (c)(3)**
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