Date: Name:
Street
Address:
City,
State, Zip Code:
Day
Phone:
Evening
Phone:
E-Mail
Address:
Age
of Primary Raiser:
Occupation:
Number and ages
of children in the home:
Types,
sexes and ages of pets in the home:
Do
the above animals have current vaccinations? YES
NO
Are the above animals
spayed or neutered? YES NO
Are the above
animals
friendly with dogs? YES NO
Where will
the dog be kept during the day?
Are you or
another family member home during the day? YES
NO Do you
have an enclosed yard? YES
NO
Have you
ever raised a dog before? YES NO Have you
received any formal obedience training with your
dogs? YES
NO
About how
much time each day will you have to spend with the dog?
Are you
willing to foster a dog regardless of breed or sex? YES
NO
Are you
willing and able to pay for feeding and other basic
care of the dog? YES
NO Are you
willing and able to pay for all veterinary care for
the dog? YES
NO
Are you willing and able to transport the
dog to and from Circle Tail? YES
NO Do you
have the physical ability to correct or restrain a
dog up to 75 pounds? YES
NO
If your
application is accepted, when will you be available
to foster a Circle Tail dog? Veterinarian
Information:
Vet Name:
Vet Street Address:
Vet City/State/Zip:
Vet Telephone:
Foster Family Agreement
I want to
help Circle Tail, Inc. raise well-socialized, well-mannered dogs. As
a Circle Tail Foster Family/Parent, I agree to adhere to all the regulations
and requirements of Circle Tail. I will foster the dog for periods of time
as determined by Circle Tail and me. While the dog is in my care, I will
follow the guidelines in the Foster Family Manual, socialize the dog to as
many sights, sounds, people, and places as possible, reinforce the commands
the dog already knows, reinforce good house manners, and report to Circle
Tail the outcome of the dog's outings. The Circle Tail staff will be able to
assist me with any concerns or problems I may have while fostering the dog.
The
following are regulations, responsibilities and commitments of a Circle Tail Dog Foster Family:
The
dog I am fostering belongs to Circle Tail, Inc.
I
will be financially responsible for treats and toys for the dog while
s/he is in my home.
I
will give the dog love and attention.
I
will foster the dog in my house and depending on age and behavior, the
dog will sleep in a crate or on the floor in the bedroom or as
discussed/approved by Circle Tail. I will not allow the dog to sleep on
the bed at any time.
The
dog will have house training and in-house etiquette consistently
reinforced. I will not allow the dog on any furniture, to beg for food,
to jump on people at any time, or to mouth people. I will not allow any
"rough housing" with the dog, playing tug-of-war, or chasing
of the dog.
I
will only allow the dog to interact/play with other pets under
supervision.
I
will familiarize the dog with people of all ages and varied places and
sounds. I will work on confidence in new situations and calm greetings
with new people.
I
will use only toys approved by Circle Tail.
I
will feed the dog according to Circle Tail specifications, and I will
not feed the dog any table food or allow him/her to become overweight.
I
will reinforce the dog being handled for grooming, teeth brushing and
nail trimming.
I
will walk the dog regularly on a loose leash and not allow the dog to
pull on the leash.
I
will not allow the dog to be off leash outside unless in a safe, fenced
in yard. I also will not tie the dog outside unattended.
I
will notify Circle Tail immediately if any injury or illness should
occur while the dog is in my care. I will obtain emergency veterinary
care for the dog if necessary.
I
hold Circle Tail harmless for any property damage or personal injury
caused by the foster dog while he/she is in my care.
The
information on my application is true and accurate. I have read the above
information and agree to these responsibilities and understand them. I also understand that if this agreement is
not adhered to, the puppy/ dog may be removed from the
premises and placed elsewhere.
Please acknowledge
that you have read, understand, and agree to the foster family conditions by typing
"YES" in the following box:
Thank you for your interest in the
Circle Tail Foster Family Program. We will contact you within
2 - 3 business days to discuss Fostering opportunities.