CCFR Foster Home Application

Foster Application

Colorado Corgis and Friends (CCFR)

corgisandfriends@gmail.com

Name of dog you'd like to foster (if applicable)

Are you applying because you're interested in fostering to adopt?

YesNoUnsure

Date*

Date

Name*

Age*

Phone Numbers: Home*

Format: (000) 000-0000.

Cell*

Work

Street*

City*

Zip*

Employer*

Email Address*

example@example.com

If you are on Facebook, please provide the link to your profile so we can add you to our private foster group once approved

Have you ever had a dog before (not a family pet, your own dog)*

YesNo

List Pets Currently in Your Home:

Rows	Name	Breed/Type	Sex	Age	Owned Since	Spayed Neutered?	Date of last dapp vaccine	Date of last Rabies Vaccine	Date of last bordetella vaccine
Pet 1
Pet 2
Pet 3
Pet 4

CCFR Policy is that we will not adopt/foster out to a home with any unaltered animals (cats or dogs). The only exception is if the pet cannot be altered or vaccinated due to medical problems and accompanied with a vet note.

If pet is not altered or utd on vaccs please explain

May we confirm your pet's information with your vet?*

Vet Clinic Name*

Vet’s Name

Phone Number*

Format: (000) 000-0000.

Would your pets accept a new dog?

YesNoUnsure

Have you had pets in the past?*

YesNo

If yes, please list species, breed, how long owned, and where pet(s) is now

Do you (select all that apply)*

Landlord’s Name

Phone Number

Format: (000) 000-0000.

Email Address

example@example.com

Business Address

Do you have a securely fenced yard?*

YesNo

How high is the fence?

If not, are you willing to leash walk at all times?

YesNo

Please specify how you would potty and exercise a dog without a fence.

List ALL adults (over 18) in the home AND their ages (e.g. spouse, partner, housemates, etc.)*

How many children are in your household?*

Ages of children

How much contact do you have with grandchildren, neighborhood children, or other children?

What are the working hours outside of the house of the adults in your home?*

Have you or anyone in the home ever received a citation or warning for a dog in your home? *

YesNo

Describe the activity level of your home – busy in and out all day, or is it a more quiet, structured atmosphere?*

Where will the foster dog be kept during the day (please be specific)?*

Where will the foster dog sleep at night?*

Where will the foster dog be kept when left alone?*

How many hours per day would foster dog be left alone?*

Would pet have access to outside when humans are not home?*

What characteristics would you find undesirable or could not handle from a foster dog?*

Please answer yes or no. Would you accept a foster dog:

That is older?*

Has a disability*

Is pregnant and will be whelping?*

Has been abused/unsocialized?*

Recovering from medical treatment and needs long term care?*

Requires long term socialization and/or behavioral training (4-6 months)?*

Describe any experience you have had in training and/or rehabilitation with dogs. Please be specific.*

Do you currently or have previously fostered dogs for another Rescue?*

If Yes, please list Rescue name, contact info, and contact person

Some dogs have problems with separation anxiety, fearfulness, or dominant behavior. Please select those characteristics you would be willing to help retrain either with Rescue guidance or with the instruction of a professional dog trainer or behaviorist.

If necessary, would you be willing to take a foster to basic obedience training (CCFR’s expense with pre-approval)*

YesNo

Are you able to pick-up, drop-off, and take foster dog to vet appointments as necessary? (These are typically early AM and afternoons T-Th)?

YesNoUnsure

Are you able to take your foster dog to meet with potential adopters as necessary?

YesNoUnsure

Do you agree to never use harsh punishment, corrections, or other negative training tools such as shock collars, prong collars, or any type of electronic collars or your foster dog?*

Do you agree to never take foster dog to shelter, humane society, or give to another party without the consent of CCFR while the dog is in your care and that you are financially responsible for all recovery and related fees if you do so?*

YesNo

What are your general expectations for fostering a dog for our organization?*

I understand that CCFR will be responsible for any medical, training, or other approved expenses associated with the foster dog in my care. I understand that by signing this form, I agree to release and to hold harmless CCFR and its members from any claims, damages, costs, or actions including any financial costs from bites or injury to family or visitors or injury to other animals incurred as a result of the foster care or actions of the foster dog. I understand I am bringing in a dog that CCFR does not always know the history on and I will use extreme caution and exercise good judgment when exposing the foster dog to my own animals, neighbor animals, family members and visitors since it is possible that a foster dog, until fully assessed, may demonstrate behaviors that need to be monitored.

I will notify CCFR immediately should the foster dog become lost, stolen, aggressive, seriously ill, or die. The foster dog will always wear a CCFR ID tag* and a rabies tag (if provided). I understand that should I decide within the first 14 days of foster care or before the dog is posted for adoption) to permanently adopt the CCFR foster dog in my care, I will pay CCFR the adoption fee.

I certify that I am at least 21 years of age and that I will be solely responsible for the care and wellbeing of any dog that I foster care for CCFR. The above information is correct and does not contain false information. I agree to let CCFR check all references and understand that if my application does not meet the requirements of CCFR it may disqualify me from fostering with this organization. Any misrepresentation of the true facts in this foster home application will invalidate the foster home agreement and will give CCFR the right to immediately reclaim the foster dog.

Signature*

Date*

Date

*CCFR ID tags are issued if available.

Contact Name*

Contact phone or email*

Contact Name*

Contact phone or email*

Contact Name*

Contact phone or email*

Do you have a representative of CCFR that you are currently working with? If so, please list their name.

If renting, please give landlord’s information below. We require the landlord’s verbal or written consent to foster a dog.

Please provide 3 references who are not related to you who can verify your character