Samoyeds of WA Rescue - EOI Dog Foster

Please complete this Foster with view to Adopt questionnaire to help Samoyeds of WA Rescue Inc and yourself determine if a specific dog is the right one for you and your household.

All adopting & fostering parties are required to complete this form prior to adoption/ fostering.
Samoyeds of WA Rescue Inc - Expression of Interest Interest - Dog Adoption/Foster Application
Applicant Information
Your full name:
Your age:
Street Address:
City, State, Zip
Mobile Phone:

Area CodePhone Number
Home Phone:

Area CodePhone Number
Work Phone:

Area CodePhone Number
E-mail:
Employer:
What Days/ Times are you available for a phone conversation?
Household Information
What type of residence do you live in?House,Townhouse, unit, apartment, rural property etc?
Are all members of your household in agreement with this adoption?
Do you own your home or rent?
If rent, provide name and phone number of landlord:
Does your landlord allow dogs?
Are there any restrictions from your landlord or subdivision?
Do you have a fully fenced yard?
Height and type of fence
How many adults are in your household?
How many children are in your household?
If children, what are their ages?
Have your children been around animals before?
Does anyone in your home have allergies to dogs or have asthma?
Current/Previous Pet Information
Do you currently have any other pets? Please give breed, size, sex and age.
If you currently have dogs are they spayed/neutered?
Have you owned a Samoyed Before?
If you have not owned a Samoyed before, why do you want one & have you researched the breed? Name two Samoyed Traits?
Have you adopted from an animal rescue group before?
If yes, what group?
Have you ever given up a pet?
If yes, what were the circumstances?
Please provide the name and phone number of your current and/or previous veterinarian:
New Pet Information
How often will you have time to walk the dog each day? How long for?
How many hours each day will your new pet be home alone?
Where will your new pet sleep at night?
Will the dog be allowed inside? How often?
What length of time will you allow your new pet to adjust to his new home?
What are your expectations of brushing requirements for a Samoyed and do you feel you can support the time required for grooming?
Are you willing to work through your new pet's issues, if any?
Are you aware that a new environment is stressful for your pet, and they may exhibit uncharacteristic behavior?
Are you aware that a large breed dog takes about two years to mature? Is this something you're prepared for?
What circumstances would lead you to give up your new dog?
Is there anything else you would like to tell us about you, your family or your interest in adopting a Samoyed?
The more information you provide, the better we will be able to determine suitability
How did you find out about Samoyeds of WA Rescue Inc?

Other
Samoyeds of Western Australia Rescue Inc reserves the right to deny any adoption based on answers to this questionnaire and/or interviews prior to adoptions! Providing untruthful answers or failure to comply with the requirements of this can result in the forfeiture of the foster/adoption.

By submitting this application, I agree that all the information I have provided is correct.

You agree to allow us to check the references provided.

We appreciate you taking the time to complete this application. Upon review and approval, we will contact you as soon as possible. We reserve the right to refuse any applicant and will not enter into any further correspondence on our decision.

Any Queries please Email: samoyedsofwarescue@gmail.com or call 0438605915
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Samoyeds of WA Rescue Inc - Expression of Interest Interest - Dog Adoption/Foster Application

Applicant Information

Household Information

Current/Previous Pet Information

New Pet Information

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