Houston Eskimo Rescue Foster Application
Applicant Information
Applicant Full Name
*
First Name
Last Name
Age
*
Spouse's Name
First Name
Last Name
E-mail
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Applicant Occupation
Spouse's Occupation
Household Information
Number of other people living in the home
*
Household member entries
*
Current Pets
Number of Current Pets
*
Pet 1 Name
Pet 1 Age
Pet 1 Sex
Please Select
Male
Female
Unknown
Other
Pet 1 Species
Pet 1 Breed
Pet 1 Spay/Neuter Status
Please Select
Spayed
Neutered
Intact
Unknown
Other
Pet 1 Vaccinations
Pet 2 Name
Pet 2 Age
Pet 2 Sex
Please Select
Male
Female
Unknown
Other
Pet 2 Species
Pet 2 Breed
Pet 2 Spay/Neuter Status
Please Select
Spayed
Neutered
Intact
Unknown
Other
Pet 2 Vaccinations
Pet 3 Name
Pet 3 Age
Pet 3 Sex
Please Select
Male
Female
Unknown
Other
Pet 3 Species
Pet 3 Breed
Pet 3 Spay/Neuter Status
Please Select
Spayed
Neutered
Intact
Unknown
Other
Pet 3 Vaccinations
Pet 4 Name
Pet 4 Age
Pet 4 Sex
Please Select
Male
Female
Unknown
Other
Pet 4 Species
Pet 4 Breed
Pet 4 Spay/Neuter Status
Please Select
Spayed
Neutered
Intact
Unknown
Other
Pet 4 Vaccinations
Veterinary Information
No Current Veterinarian
I do not currently have a veterinarian
Veterinary Clinic Name
*
Veterinarian Name
First Name
Last Name
Veterinarian Name
Veterinary City
*
Veterinary Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Veterinary Information
Foster Experience & Home
Past experience with dogs
*
Have you ever owned an American Eskimo Dog?
Please Select
Yes
No
If yes, please explain
What environment can you provide for a foster dog?
*
Indoor only
Outdoor access
Crate training available
Quiet home
Active home
Dog-friendly household
Other
What kind of home do you live in?
*
Please Select
House
Apartment
Condo
Townhouse
Mobile home
Other
Do you own or rent?
*
Please Select
Own
Rent
Other
If renting, do you have landlord permission to foster a dog?
Please Select
Yes
No
Not applicable
Describe any fenced area, yard, or kennel available
List the dog care items you already have
Where will the foster dog live and sleep?
*
“Where do your current pets live and sleep? If you do not currently have pets, please describe where your past pets lived and slept.”
*
Foster Care, Safety & Training
How will you exercise the foster, and how often?
*
How will the dog be transported when needed?
*
How will the foster be cared for while you are at work or on vacation?
*
What is your idea of proper discipline for an American Eskimo Dog?
*
What do you consider proper and nutritious food for a dog?
*
Foster Responsibilities
I understand the Eskie must live in my home as a loved family member.
*
Yes
I am prepared to meet the grooming and exercise requirements.
*
Yes
I understand that medication or treatment may need to be administered and that the foster dog may need veterinary visits.
*
Yes
I understand that I must keep in contact with Houston Eskimo Rescue and contact HER directly if there are any problems.
*
Yes
Foster Preferences & Final
Have you seen a specific dog on our site or Petfinder listing that you are interested in fostering? Please provide details.
Additional comments
Submit Application
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