What Rescue are you fostering for?
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Foster Name
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First Name
Last Name
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
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(###)
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####
Email Address
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Other Members of Household:
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Please include any roomates, family , relationship and age of any children.
Note/Message
Foster Dog's Name
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Sex
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Male
Female
Weight
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Color
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Neutered
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Yes
No
Not Yet
Other Household Pets
Age, Sex, Spay/Nueter, yours and or your roomates
Dog walker and/or Daycare company you use
Current Medications:
Dog Allergies
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Yes
No
If yes, list allergies here
Current or past medical problems or injuries:
Is this dog currently on Heartworm Preventative:
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Yes
No
Is this dog currently on flea / tick preventative
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Yes
No
Not during the Winter
Describe primary feeding routine
How often are you feeding, Do you leave the food out, use an Interactive feeder, make your dog wait, in the crate etc...
What are your training expectations
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What are the issues you are having with this Foster?
What kind of training has the dog had?
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Select all that apply.
Private Training
No Professional Training
Other
If you had training for this dog, with who and what did you learn?
Is the dog crate trained?
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This means OK in the crate with the door closed and no one home.
Yes
No
Describe issues surrounding crate training
Do you currently use the Crate?
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This means with the door closed.
When I leave
At night to sleep
When I am home at times
For feeding
Not anymore
Never crate trained
Allowed to roam free in house when you are not home?
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Yes
No
Supervised Only
Unsupervised
Allowed to run free in yard?
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Yes
No
Supervised Only
Unsupervised
N/A
Allowed on furniture?
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Yes
No
With Permission
Does your dog use wee pads?
Yes
No
Sometimes
How does the dog react when you leave?
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Have you seen any signs of Separation Anxiety?
Describe walking on a leash:
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Tell more all about your walks, good and bad, how long and many walk per day?
What kind of collar or harness are you using or have used in the past?
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Front/back clip harness, flat collar, martingale, choke, english slip lead, pinch/prong, E-collar
Do you let the dog meet other dogs on leash?
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Yes
No
If yes, how does it go?
How does the dog react to other animals?
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Cats, birds, squirrels, etc.
Does the dog play off leash with other dogs?
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At Day care, a fenced in or off leash hours at parks, "Play Dates" at your or a friends/family home…
Yes
No
If yes, how does the dog do during off leash play and socialization?
How does the dog react when strangers approach your home, yard, or out in public?
Is the dog startled or scared of loud noises?
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Thunderstorms, fireworks, loud trucks, buses, carts, skateboards etc…
Yes
No
If Yes describe:
Is the dog sensitive to any parts of his/her body being touched?
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Ears, mouth, paws, nails, backend, etc
Yes
No
If yes, explain:
Is the dog possessive of or ever growled/snapped over food, toys or other objects?
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Yes
No
If yes, please describe the incident/s
The more information you can give the better.
Has the dog ever growled at someone?
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Human or Dog, other than over an object discussed above.
Yes
No
If yes, please describe the incident/s
The more information you can give the better.
Has the dog ever bitten someone?
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Yes
No
If yes, please describe the incident/s
Did the bite break skin? The more information you can give the better.
Does the dog obsessively:
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Bark
Dig
Jump
Chew
Mouth
Chase their tail
N/A
If so, explain:
Are there any OTHER behaviors or problems you would like addressed?
Jumping, counter surfing, barking at the doorbell etc..
What are the dog's best qualities and what does your dog love to do the most?
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I read & understand the Cancellation Policy
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All appointments scheduled will require a 48 hour notice of cancellation by the owner or will otherwise be charged at full price. Exceptions will be made for weather, emergency / medical circumstances. All session booked in a package must be completed within 3 months of purchase, unless there is a emergency / medical circumstances.
Yes I agree
Do you agree to the Training Agreement terms?
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See a link below to read the Training Agreement in full.
Yes I agree