Foster home application

fosterhomeapp

PIXIE’S LEGACY - A Doberman Rescue
Doberman Pinscher Club of Western New York
ucdxpixie@heelynndobes.com

Name: _____________________________________________________________
Address: ___________________________________________________________
City/ State/ Zip: ______________________________________________________
Phone Numbers (home): ________________ (work): _________________________
Email Address: ______________________________________________________
Veterinary Reference (Name/ City / Phone number): ___________________________
__________________________________________________________________

How did you hear about our foster program?

Why do you want to foster a Doberman?

Have you previously owned a Doberman? yes/ no
If so tell us about him/ her. If not why did you choose this breed?

What other breed(s) have you owned?

What happened to your last dog?

Do you have any other pets? yes/ no
If so specify type, sex (spayed/ neutered?), age, etc.

How many adults are in your household?
Do you have children? yes/ no
Is so please state their ages and sexes. If not do you have children visit frequently?

Is someone home during the day? yes/ no
If not what is the average time away? The longest time away?

Where will the dog spend the day? the night?

Do you own your own home?
If not please provide us with your property managements name and phone number.

Do you have a fenced yard? yes/ no
If so what height/ size is the fence? If not how do you plan to exercise a foster dog?

How do you intend to handle any bitches that come into heat under your care?

Do you agree to relinquish the dog once a permanent home is found? yes/ no

Would you be willing to have us visit your home by appointment? yes/ no

How many Dobermans can you foster at one time? __________________________
What sex Doberman do you prefer? male/ female
What age range would you prefer? ______________________________________
Are you aware that dogs need heartworm preventative? yes/ no

As foster parents, you are responsible for the dog’s basic needs such as food and shelter. You will also be expected to arrange for basic health care. Dogs can not be transported in the open bed of pick-up trucks.

PIXIE’S LEGACY will reimburse foster parents for medical expenses incurred during foster care no later than thirty (30) days from the date the dog is legally adopted. Expenses, except for emergency medical care, that are not approved in advance will not be reimbursed. Further, PIXIE’S LEGACY will not support the cropping or docking of a Doberman under foster care.

The undersigned foster parent(s) agree to provide temporary foster care, without compensation, for PIXIE’S LEGACY. Should it become necessary for PIXIE’S LEGACY to take legal action to recover the dog(s) from foster parents, or those whom the foster parents have transferred or sold the dog(s), or to otherwise enforce the provisions of the Agreement, the undersigned foster parent(s) agree to pay all court costs and reasonable attorney fees, whether of not that action should be filed in a court of law.

I agree to provide a foster home for assigned Dobermans, keeping those dogs exclusively as temporary pets, and not for breeding. I accept full responsibility for their care, releasing the previous owner, as well as PIXIE’S LEGACY and it’s representatives, of any liability concerning these dogs. I agree to immediately relinquish any Doberman upon request.

PIXIE’S LEGACY reserves the right to follow up on the foster home in order to protect the welfare of the dog. If the terms and conditions of this agreement are not upheld by the adopter or if any misrepresentations have been made, PIXIE’S LEGACY reserves the right to terminate this agreement and the foster home must return the dog to PIXIE’S LEGACY immediately.

Signature _________________________________ Date: _______________

Please fax the completed application to:
Lynn Winter
518-483-3506
ucdxpixie@heelynndobes.com

Signature of PIXIE’S LEGACY representative:
_______________________________ Home visit conducted on: _______________

Foster Home Application


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