Deaf Dogs Rescue Australia form

Full name

E-mail*

Full Name stated on your Drivers Licence *

First NameLast Name

Age

Address*

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Mobile

Phone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Household Setting

RuralSuburban

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to fostering a Dog?

YesNo

Please List any Pets you have Living (Please include Name, Breed, Age, desexed, Sex, Vaccines, Heartworm, *

Are you willing to foster a dog of any age?

YesNo

If not, what age would you consider?

What size dog are you willing to foster? (Check all that apply)

SmallMediumLarge

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.

NOTE: Vets MUST BE APPROVED BY THE TEAM appointments must be approved prior to visit. Microchip and Breed. We state that this dog is a foster for Deaf Dogs Rescue Australia. We will not be liable for dogs that we do not have in rescue. Are you willing to take your foster dog to vet appointments at a convenient time for you?

YesNo

You will receive the legal foster care guidelines via email. This will need to be signed and returned.

Do you drive or have access to a vehicle to bring your foster to events and appointments

YesNo

If No please explain*

If approved for foster we will require a copy of your driver's Licence. Incase of emergency.

YesNoDeaf Dogs Rescue have a copy

Drivers Licence Number

Please send a copy of your photo licence - this is used to verify your address.

Browse Files

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog, Deaf or blind dogs

YesNo

If Yes please explain

Do you have a fenced yard?

YesNoPartialProvide photo

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

Do you work?

How many hours in a day would the foster be left alone?

Do you agree to keep the dog safe from harm. When out walking the dog is to be kept on a lead. Whilst on your property the dog is your responsibility. Make sure fencing is secure.

Please READ if you can no longer foster the dog in your care. Or you are finding it difficult please give us one week to find a new foster carer. Unfortunately this can take time.

Please list 2 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

YesNoFostered for previous rescueOther

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry

Phone Number*

Area Code +61Mobile

Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Address

Street Address

Street Address Line 2

CityState

Postal CodeCountry

Phone Number

Area CodePhone Number

Phone Number

Area CodePhone Number

Date

MonthDayYear

Your name*

E-mail

Signature*