LUNA SIBERIAN HUSKY RESCUE FOSTER APPLICATION

Name of dog you are inquiring about?

If Applicable

These questions are aimed at making sure you understand the responsibilities that come with caring for a husky or malamute and to assist us in placing the right pet with you.

FULL NAME *

E-mail *

Mobile Number *

Area Code Phone Number

Home Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Have you had any previous experience as a foster ? *

Yes No

If "yes", please describe

2. Are there any circumstances where you might not be willing to foster a dog? i.e. Behavior problems. *

3. If you are not inquiring about a particular dog, please give sex and age of dog you would be interested in fostering. *

4. Please tell us what type of care are you able to provide? Emergency/ Short Term/Long Term? *

Are you able to transport a foster dog to veterinary/assessment appointments as necessary? *

Yes No

6. Would you be willing to allow a representative to make a home visit at a mutually agreed time? Please note: A property inspection is required prior to fostering, to ensure the safety of the foster dog. *

Yes No

7. Do you own your home? If you are renting, please provide us with your landlord's written verification that a dog is permitted: *

Upload a file

8. Emergency Contact *

First Name Last Name

Emergency Mobile Number *

Area Code Phone Number

Phone Number *

Area Code Phone Number

E-mail *

Address - if different from above

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

9. Do you currently have a vet? If so, please provide us their name and phone number so we can contact them for a reference, together with one personal referee. If you do not have a vet please provide two personal references. We reserve the right to contact these referees should the application proceed. *

Vet Name *

Vet Phone Number *

Area Code Phone Number

Vet E-mail

Personal reference( non-family) *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail

If no current vet, please give a second personal reference

First Name Last Name

Phone Number

Area Code Phone Number

E-mail

10. Is there anything else you would like to tell us about you, your family or your interest in fostering a siberian husky? The more information you provide, the better we will be able to determine suitability of a particular dog.

11. Number of adults living at premises? *

12. Ages if under twenty five? *

Are there any children in the home ? *

Yes No

If so, please list their ages .

Are any of your children allergic to animals or dander? *

14. Do you currently have any pets? Please give breed, size, sex and age. *

If you have a dog(s) are they spayed or neutered? *

Yes No I do not currently have a dog

Microchipped ? *

Yes No I do not currently have a dog

Current on all vaccines ? *

16. Where do your current pets sleep? Where will the foster dog sleep? Please be specific eg kennel, verandah, laundry. If inside, which room? *

17. Which areas of the house will the foster dog have access to, eg backyard and laundry/ kitchen/non-carpeted/other areas? Do you have a doggie door? Are there any areas which are off limits? *

18. Is your yard securely fenced? Describe type of fencing (wooden, brick, chain link etc) and height at the lowest point. If you have a swimming pool is it separately fenced? *

19. If no-one is at home, where will the foster dog stay? Inside or Outside? If the dog is outside, what type of shelter will the dog have? *

20. How many hours will the foster dog be without human company for each day? *

21. How many dogs are you allowed by your County ? *

22. How will the foster dog be introduced to your human family members? What specific steps will you take to integrate them? *

23. How will the foster dog be introduced to your existing pets? What specific steps will you take to integrate them? *

24. Please tell us what breeds of dogs have you previously owned and have you ever owned a siberian husky ? *

26. Please tell us how often will you have time to walk the dog? How long for? *

27. There is usually an adjustment period, until a new dog settles in, how do you plan to make your foster dog feel at ease and how will you cope with the possible complications that may arise? *

28. Under what circumstance would you give up fostering, e.g. family illness, barking, digging, shedding, allergic to foster dog, destructive chewing, biting, growling, moving house, reactivity on lead, lack of housetraining, cost of food/care? *

I agree that the named Siberian Husky is being fostered by myself and will not be sold, adopted, or given to another party under any circumstances.

I agree that the foster dog will not be allowed off my premises unsupervised. When taking the dog out or travelling by car, I shall remain vigilant at all times and he/she will be secured by a harness and/or collar, and will wear an ID tag. The foster dog will not be allowed off leash in public areas.

If requested to do so, I shall keep the foster dog apart from any other animals.

I will contact Luna Siberian Rescue immediately if the foster dog is lost or stolen. Shanne- 760-218-9989, Derick-760-449-4700 I will make every reasonable effort to recover the dog.

I agree that the foster dog will be a companion animal and will live as part of my family, he/she will not be used as a guard or hunting dog. The dog will not be kept as an outside pet.

I agree to care for the foster dog in a humane manner. This includes providing adequate, food, water, shelter, exercise, attention and veterinary care.

I understand that foster dogs may need extra patience and understanding and I agree to allow the foster dog a reasonable time to adjust to new surroundings.

I agree that if I have any training issues or difficulties of any kind with the foster dog, I will contact Luna Siberian Rescue Inc. immediately.

I will not alter the foster dog's appearance in any way, shape or form. i.e. cropping, docking, colouring, except for routine grooming.

I will allow a Luna Siberian Rescue Inc. representative to make periodic visits to my home during the foster care period.

I understand and agree that Luna Siberian Rescue will only cover pre approved veterinary expenses for the dog, by a Luna Siberian Rescue Inc. authorised Veterinarian. Luna SIberian Rescue will not reimburse any unauthorized expenses.

I understand and agree that it is a Luna Siberian Rescue Inc. requirement that the foster dog will be spayed/neutered by a Luna Siberian Rescue authorised veterinarian when the dog is well enough to do so.

I agree to keep Luna Siberian Rescue Inc. updated with my current contact details and will notify them of any plans to move or travel, with or without the foster dog.

I agree to notify Luna Siberian Rescue Inc. of any change in circumstances that may prevent me from providing foster care at any time during the agreed foster period.

I agree to return the foster dog to Luna Siberian Rescue Inc. in good condition, if at any point or for any reason Luna Siberian Rescue Inc. requests that I should surrender the dog, without requesting a fee.

I will immediately notify Luna SIberian Rescue Inc. in the event of the dog's death during the foster care period.

Should I wish to adopt the foster dog, I will notify Luna Siberian Rescue Inc. and upon approval, shall follow Luna Siberian Rescue Inc. adoption procedures. There is a trial period when adopting a , during this time, all Foster Terms and Conditions still apply.

I agree to foster the named dog at my own risk and indemnify and release Luna Siberian Rescue Inc. its director and volunteers, of any and all liability arising from damages to person(s) or property caused by the dog.

I have read, understood and will abide by the Foster Guidelines provided on the

I have read and fully understand the Terms and Conditions of this agreement and agree that it is not arbitrary and that provisions herein, are common in pet foster care agreements. I further understand, that if I fail to comply with any of the Terms specified herein, Luna Siberian Rescue Inc. has the right to reclaim the dog and to enforce this contract in a court of law.

Foster's name

First Name Last Name

Date

Month Day Year

Signature

Clear

Luna Siberian Rescue Representative

First Name Last Name

Foster Start Date

Foster End Date

Estimated Length Of Stay

Name of Siberian Husky

Sex

Age or Birth Date

Color

Distinctive Markings

Microchip Number

By submitting this form, you are agreeing to the above Terms & Conditions.

LUNA SIBERIAN HUSKY RESCUE FOSTER APPLICATION

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LUNA SIBERIAN RESCUE FOSTER TERMS AND CONDITIONS