Dog Foster Application Template (Page 2 of 4) in pdf

Dog Foster Application Template Page 2

How does your dog(s) react to other dogs? (Friendly, submissive, growls, etc.):

________________________________________________________________________________

Are ALL dogs in your household current on ALL recommended and/or required vaccinations? Yes/No

Please list dates of last vaccination:

Rabies ________________ DHLPP _______________ Other (Bordetella, Lymes) ______________

Are ALL dogs in y our household spayed/neutered? Yes/No

Name, address, & phone of current Veterinary Clinic and/or Veterinarian:

__________________________________________________________________________________

___________________________________________________________________________________

Have you ever had a dog diagnosed and/or treated for heartworms? Yes/No

If yes, please explain:

_____________________________________________________________________________________

Do you own/rent? Live in (circle one): House/Townhouse/Apartment/Duplex/Trailer/Other

Do you have the landlord's permission to have a dog ? Yes/No

Landlord's name, address, & phone number:

_____________________________________________________________________________________

Do you have a fenced yard? Yes/No

What type of fencing, and height of fence?__________________________________

Do you allow your dog(s) to run in any unfenced areas? Yes/No

If yes, please explain:

______________________________________________________________________________

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Dog Foster Application Template Page 2