After you have read the description of our foster home program, please complete the questions below, sign, and return to Houston Sheltie Sanctuary, Inc., using one of the methods at the end of the form.  Thank you for helping us with this greatest of rescue needs.

*First Name:
*Last Name:
*Date:
*Address:
Apt. #:
*City:
*State:
*Zip Code:
*Email:
Home Phone:
*Cell Phone:
Work Phone:
Occupation:

[For safety reasons, HSS does not place our Shelties in mobile/trailer home environments]

Do you live in a:
House       Apartment       Condo
Do you:
Rent       Own
If you rent, do you have the landlord's permission to keep a dog?
Yes       No
[Please attach the form above.]

[Single dwelling homes must have a fence to protect sometimes nervous rescued Shelties that might tend to bolt.]

Do you have a yard?
Yes       No
Is it fenced?
Yes       No
What type of fencing?
Chain       Wood       Other
Please describe:
Is someone home during the day?
Yes       No
Please explain:
What provisions will be made for your Sheltie if no one is home during the day?
Loose inside?       In crate?       In crate?
[Our resuced Shelties must be kept in doors.]
Where will the dog sleep? Please explain:

Please explain your responses below. During the last two years:

Have you lost a pet (not through death)?
Yes       No
Have you had one poisoned?
Yes       No
Have you had an animal killed by a vehicle?
Yes       No
Have you had an animal die due to disease?
Yes       No
If yes, what did the animal die of?
Do you have children at home?
Yes       No
If yes, number:
Age(s):

[HSS trusts that your children are experienced with and kind to animals. Please note: Because we cannot know all the personalities and behaviors of the children, HSS will not place our dogs in homes that have a baby sitting/day care home business.]

Do you have other pets at home?
Yes       No
If yes, number:
Age(s):
Are all pets spayed/neutered?
Yes       No
If Yes, are the pets vaccinated and on heartworm preventative?
Yes       No
If Yes, do your pets get along with other dogs?
Yes       No

[Due to the many health benefits accruing from spaying and neutering, as well as to prevent accidental litters, we require that all resident pets must be neutered/spayed. However, we do welcome knowledgeable, professional breeders who are members of the ASSA and their local breed clubs and who would like to work with our program to help our Shelites.]

HSS will provide all medical care, heartworm and parasite preventative. Are you preparied to assume the responsibilities of feeding, bathing, grooming, and caring for your rescue Sheltie, including emotional rehabilitation for a traumatized dog and crating for a dog going through heartworm treatment?
Yes       No
Will you follow all veterinarian instructions provided and administer all prescription medications and H/W preventative to your foster?
Yes       No
Are you prepared to keep your foster crated if going through H/W treatment?
Yes       No
Are you prepared to assume the responsibilities of contacting HSS officials for any medical emergencies? (For example, if a dog is going through Heartworm treatment and begins throwing up and becomes listless, this may be an emergency.)
Yes       No
Do you agree that HSS Coordinators make all medical and adoption decisions for our program dogs?
Yes       No
Will you let HSS officials know if you are planning to take your foster out of town or state for family visits or recreation?
Yes       No
Though HSS does not accept vicious dogs into our program, we do not know the histories of many of our rescues. Are you prepared to contact HSS immediately if your foster dog bites anyone or injures another pet?
Yes       No
Will you keep the dog confined in a fenced yard when let outdoors, walk/exercise the dog regularly, and allow the dog indoors?
Yes       No
Do you understand that Shelties are known for being 'barkers'?
Yes       No
Do you understand that Shelties can be shy and aloof with new people?
Yes       No
Do you understand that only HSS officials may place your foster Sheltie in an adoptive home?
Yes       No
Foster parents are encouraged to maintain an 'aunt' or 'uncle' relationship with the dog in their care; but it does occasionally happen that the foster parent and dog bond so completely that adoption into this home is best for the dog and family, which we would be happy to work with. Do you understand that if you wish to adopt your foster Sheltie, you must complete the adoption papers and pay the fee(s) listed on the adoption description and application pages?
Yes       No
Are you willing to allow a Houston Sheltie Sanctuary, Inc. Rescue Program representative to visit your home by appointment?
Yes       No

Name and phone number of your Vet:

Name:
Phone:

I hereby authorize the veterinarian named herein to release information about me or my pet(s) to Houston Sheltie Sanctuary, Inc. as necessary to evaluate this application.

How did you hear about Houston Sheltie Sanctuary, Inc. Rescue Program?

Internet Search
Petfinder
Vet, Clinic, Pet Store, or Shelter Referral
Name:
Breeder
Name:
Dog/Obedience Club
Name:
Another Rescue Group
Name:
Friend/Neighbor
Name:
Other
Please explain:

I am in full agreement with the Houston Sheltie Sanctuary, Inc. Rescue Program Foster Care Responsibilities. By signing below I am attesting to the truthfulness of my answers.

*Electronic signature:
 
*Electronic date:
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