Save A Dane

GDRST FOSTER APPLICATION

Please realize it may take anywhere from 1 - 7 days to process your application. ALL potential foster homes are screened for suitable placements of animals. Great Dane Rescue of Southeast Texas may refuse placement of an animal for any reason. By submitting this application, you give permission for Great Dane Rescue of Southeast Texas to investigate and confirm the information that you provide. all forms become the property of Great Dane Rescue of Southeast Texas upon submission.

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Release for Veterinary Reference: (required)

I, , hereby give permission for any veterinarian providing service to me to release medical information on any/all of my animals to Great Dane Rescue of Southeast Texas.
(digital signature)

My current veterinarian is

Veterinarian Address:

Veterinarian Phone:

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Full Name:

DL#:

DOB:

E-mail address:

Home Phone:

Cell Phone:

Street Address:

City, State & Zip:

Employer Name:

Work Address:

City, State & Zip:

Work Phone:

Spouse's Name:

Spouse's Employer:

Spouse's Work Phone:

I live in: ---houseapartmentmobile homecondo other:

Number of adults in household?

Number of children in household?

Children's Ages:

How often will your dog come into contact with children (close neighbors, grandchildren, etc.)?

How old are those children?

Do ALL of the adults in the household consent to fostering?
 yes no

Are you or your spouse a student?
 yes no - If yes, full time part time

Do you or your spouse travel frequently?
 yes no - If yes, how often?

What will you do with this pet when you need to travel?

Does anyone have any concerns about fostering this pet?

If so, who & what are the concerns

Does anyone living in the house have allergies to dogs?
 yes no

Does anyone have asthma?
 yes no

Do you have an enclosed fenced yard?
 yes no - Type: ---woodchain linkwrought ironcattle fencing other:

Height of shortest side? (in feet)

How long at current address?
years months

Do you own your own home?
 yes no

How many times have you moved in the past 10 years?

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If you rent:

Does your landlord allow pets?
 yes no

Is a pet deposit required?  yes no
How much?  per pet per household

Size/Weight limit?
 yes no Limit:

Can proof of deposit be obtained from your landlord?
 yes no

Name of Apartment Complex or Landlord:

Apartment Complex or Landlord phone number:

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This pet will be kept: ---mostly insidemostly outsidetotally insidetotally outside

How long will this pet be left home alone during the day?
hrs x days/week

Where will this pet be kept while you are at work or away from home?

Where will this pet sleep at night?

Are you willing/able to complete obedience classes with this dog if needed or advised?
 yes no

Do you have a pet door?
 yes no

How will you teach housebreaking?

Have you ever owned a Great Dane or giant breed dog before?

Why would you like to foster a dog at this time?

What do you expect to be the worst and/or hardest part about fostering a rescue dog and how do you plan to address it?

What do you consider an acceptable adjustment period for your foster and the pets that are already in your home?

PET OWNERSHIP HISTORY

Have you ever fostered from a humane group or shelter?
 yes no

If yes, who did you foster from:
When?

Are all the pets in your household current on their shots?
 yes no no pets

Date of last vaccinations?

Are all of your dogs on heartworm preventative?
 yes no no dogs

What kind of preventative?

What is the last date of heartworm preventative given?

Has your dogs received a Bordatella (kennel cough) Vaccine?  yes no

What is the last date of the Bordatella Vaccine given?

Have any pets in your household been diagnosed with infectious diseases or conditions?
Heartworms  yes no

Distemper  yes no

Parvovirus  yes no

Please list all pets currently owned

*If current pet is a mixed breed dog, please indicate size of pet (small/medium/large).

Pet's name:
*Breed:  male female
Age:
Length of ownership:

Was it spayed/neutered?  yes no

If no, why not?

This pet was kept: ---mostly insidemostly outsidetotally insidetotally outside

Pet's name:
*Breed:  male female
Age:
Length of ownership:

Was it spayed/neutered?  yes no

If no, why not?

This pet was kept: ---mostly insidemostly outsidetotally insidetotally outside

Pet's name:
*Breed:  male female
Age:
Length of ownership:

Was it spayed/neutered?  yes no

If no, why not?

This pet was kept: ---mostly insidemostly outsidetotally insidetotally outside

Pet's name:
*Breed:  male female
Age:
Length of ownership:

Was it spayed/neutered?  yes no

If no, why not?

This pet was kept: ---mostly insidemostly outsidetotally insidetotally outside

PREFERENCES

Do you have a preference of sex? ---No preferencemalefemale

Do you have an age preference? ---No preferenceunder 6 months6 mos - 1 yr1 - 3 yrs4 - 6 yrssenior

Which of the above are requirements (you will not consider any Dane except one that meets this specification)? ---no requirementsexageboth sex & age Reason:

If approved, how soon will you be able to foster? (Date)

How did you find Great Dane Rescue of Southeast Texas? ---Internet searchNewspaper adFriend/Family referralWalk up to a Meet & Greet Event other:

Do you give permission for a Great Dane Rescue of Southeast Texas representative to visit your home prior to fostering to do a home check and after fostering to do follow up checks on your foster pet? yes no

I confirm that all the information in this application is correct and complete to the best of my knowledge. I understand that any false or misrepresentation of information discovered either now or in the future will cause my application to be denied to foster for Great Dane Rescue of Southeast Texas.

Applicant Signature (digital signature)

Date: