Thank you for your interest in fostering with FLDR! Please fill out this form and someone will contact you soon. Name * First Name Last Name Email * Address * We Only Adopt To Florida Residents Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### What are the working hours of the adults in the home? * Who will be primarily responsible for the care of the dachshund? * How many people reside in your home? * 1 2 3 4 5 6 7 8 9 10 Please list names, ages and occupations of all adults living in the house (including yourself). * You must be at least 25 years of age to adopt and have no children younger than 7, living with you. Is everyone in residence agreeable to taking care of a dachshund? * Yes No Please describe the activity level of the house - busy in and out a lot or is it a more quiet, structured atmosphere. * Please list all pets you now have in your home. Be sure to include the following information on each of your current pets (Pet's Name, Breed, Male/Female, Spayed or Neutered, Age). Please be aware that FLDR has a 100% spay & neuter policy, requiring that all pets in adoptive homes be spayed or neutered, unless there is a medical reason that they should not be. We will be calling your vet to verify that your pets are spayed or neutered, up to date on their shots and on monthly heartworm preventative. * Tell us about your current Pets * Are your pet(s) up-to-date on shots (vaccinations)? * Yes No Do not currently have pets Tested for heartworms? Yes No N/A On heartworm preventative? Yes No N/A Would your pet(s) accept a new dog? Yes No Unsure N/A How will you introduce a foster to your pets * Have you had pets in the past? Yes No Have you ever given a dog away? If yes, please explain. Please tell us about your experience with the dachshund breed. What characteristics would you find undesirable in a foster dachshund? (A rescue dog may or may not be housetrained & patience is needed. Even a housetrained dog may have an accident when first getting to a new home.) Do you: Own Rent What type of Dwelling is your home? * Single Family Home Townhouse Condo Apartment Do you have a securely fenced yard? Yes No N/A Do you have a swimming pool? Yes No Do you have a doggie door? Yes No Will the dachshund be supervised when outside? Yes No Where will the dachshund sleep at night? Where will your new Doxie be kept when left alone? Where and how will the doxie be exercised? How many hours per day will the dachshund be left alone? Would you foster a dachshund that: Is older? Yes No Has been abused? Yes No Is not reliable with children? Yes No Has a physical handicap? Yes No That is pregnant and are you willing to do whelping? Yes No That is recovering from medical treatment and may need foster care for 2 to 4 months or longer? Yes No Would you foster a pair of dachshunds, if they could not be separated? Yes No Would you be willing to take the dachshund for obedience training? (at FLDR's expense) Yes No Please describe any experience you may have had in training and/or rehabilitation work with animals. How would you correct a dog if it misbehaved or did something wrong? Are you familiar with the necessary annual shots (vaccinations)? Yes No Are you familiar with heartworm testing and prevention? Yes No Are you familiar with flea/tick treatment and prevention? Yes No Could you care for a dachshund recuperating from surgery or heartworm treatment until he/she is strong enough to be placed in a new home? Yes No Please list any experience you have with canine diseases or medical issues such as heartworms, ruptured discs, back surgery, Cushings Disease, whelping puppies, blindness, epilepsy, diabetes, mange, etc. If you currently have pets (or if they passed away within the last year), please provide us with the information for the veterinarian that you primarily use, as we will be calling to verify that your pets are spayed or neutered, up to date on their shots and on monthly heartworm preventative. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Reference 1 * (DO NOT LIST ANY RELATIVES OR PEOPLE LIVING WITH YOU.) First Name Last Name Phone (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Reference 2 First Name Last Name Phone (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about Florida Dachshund Rescue? I understand that upon submitting this document for review, that it is legally binding and any false information given will be just cause for immediate denial of adopting a rescued dachshund from this organization. * Thank you!
