Thank you for your interest in fostering a Dalmatian! Please fill out this application as completely as possible, as you will help us place an appropriate right dog with you.
Press the submit button once when finished to send your application.
  


melodee101@msn.com

  
PLEASE COMPLETE ALL APPLICABLE FIELDS

Please note that filling out this questionnaire is not a reservation or guarantee of fostering a dog. If accepted, a foster care agreement is also required.


Full Name:
Spouse/Partner Name
Age
Street Address:
City: State: Zip:
Phone:          Home:    Work:    Cell:
Email:           Home:   Work:
Best Time to Call:

How did you hear of Dalmatian Rescue? Dal Owner  Advertisement  Web  Other

Have you ever owned a Dalmatian?Yes  No  

How long are you willing to foster a dog:    Gender preference:
  
Do you have other dogs now? Yes No     If Yes, please complete the following section:

What breed(s), sex(es) and age(s)?

How often are they fed?   Watered or dry?   Brand:

How do your dogs get along with other dogs?
Excellent  Good  Fair  Poor

Is/are your dog(s) neutered or spayed? Yes No

If they are not, are you willing to have them spayed or neutered? Yes No

Have you ever bred a litter? Yes No

Have you ever trained in obedience? Yes No     Willing to train in obedience? Yes No 

Do you own cats? Yes No    If yes, please complete the following section:

How many?      

Are they used to dogs? Yes No

Do they live indoors or out? Indoors Outdoors

Veterinarian Information:
Do you have a veterinary reference?   Yes No   If yes, please complete Veterinarian info below.
If no, please indicate the reason:


Veterinarian Name:
Address:
Phone: 

Personal Reference #1 Information:
Name:
Address:
Phone: 
Email:

Personal Reference #2 Information:
Name:
Address:
Phone: 
Email:

Do you have a fenced yard?

Fence height (ft):     Fence type

If "Other", please explain fence type:

Is fence completely enclosed on all sides and also attached to the house? Yes No     

What kind of shade or cover is in the enclosure?

Please describe your yard, including approximate size, level or hilly, grass or other ground cover, etc.

What kind of accommodations do you have for the dog in the cold and in the heat?

Is anyone home during the day? Yes No     Hours the dog would be alone

Where will the dog stay during the day when alone?

Do you have a dog door? Yes No

If you have a dog door, does it go into the house or garage? House Garage

Describe neighbors the dog will be involved with (Do they like dogs? Children (ages), dogs or cats?)

Any problems with neighbors currently? Yes No     

Do you own your home? Yes No

If not, please send a letter of permission from your landlord to have a Dalmatian. 
Give landlord's name, address and phone number.

What do you do with your pets when you go on vacation?


Have you used a dog crate? Yes  No     Do you own a dog crate? Yes  No

How old are any children who will be in contact with the dog?

Does anyone in your family have allergies to dogs or cats, or asthma? Yes No   

If yes, how severe?

Any other questions about the breed we can answer?