Fostering Application

PRSDC

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619-536-0923

Becoming a Foster Parent

Name

First

Last

Spouse/Partner/Roommate

Name

Address

Street address

Address Line 2

State/Province/Region

City

Postal/Zip Code

Country

Home Phone

###-###-####

Work Phone

###-###-####

Cell Phone

###-###-####

Best time to call

Which Number

Date to call

MM/DD/YYYY

Household Age Groups

Your Age Group

Household Age Groups

Spouse/Partner Age Group

Other adult(s) living at home

First

Last

Child(ren) living at home

First

Last

Does anyone in your house smoke indoors?

How does your Spouse/Partner feel about dogs?

Type of Work You do

First

Last

Spouse/Partner's Work

First

Last

Does either of your work require travel?

If Yes, Frequency and Duration of Trips

Where would the Pug stay when you go out of town?

Friend
Relative
House-sitter
Vet
Kennel
Other

Describe

Is someone home during the day?

Where will the Pug stay during the day?

How many hours a day will the pug be left alone?

Length of time at This address

Are you moving within a year?

Do you rent or own your home?

If renting, you MUST provide a statement from landlord stating his/her name & phone number, and any pet restrictions.

Where do you live?

House
Condo
Townhouse
Apartment
Mobile Home
RV Park

Do you have a Homeowner's Association?

If yes, you MUST provide CCRs with HOA name, phone number, & pet restrictions for the complex.

Do you have an enclosed

Front Yard
Back Yard

Describe your yard

Do you have an enclosed

Pool
Spa

Pugs can't swim, Describe:

Are you will to reinforce enclosures if we deem it necessary to protect the Pug?

Will you stop using toxins (pesticides, snail bait, Weed & Feed, antifreeze) in areas the Pug can get to?

Do you have a Gardener?

Do you have a house Cleaner?

Where, specifically, will the Pug sleep?

Can you deal with a snoring pug?

Will the Pug be allowed on the furniture?

Will you deal with housebreaking?

Will you accept a special needs Pug?

Would you ever leave your Pug in a car?

Have you ever relinquished a pet?

Have you lost a pet within the last 5 years to:

Accident
Illness
Moved
Lost
Stolen
Euthanasia

Explain

If your pug has a housebreaking accident, you should:

Hit the dog and say, "NO!"
Put the dog's nose in it and say "Bad dog!"
Lightly spank the dog and put it outside
Other

by Where, to

Explain

Will you be responsible about giving medication (pills/drops/ointment) if needed?

Will you follow a high quality diet regiment for the foster Pug?

Will you take the foster Pug to the vet when necessary and with the approval of Pug Rescue?

Pug Rescue pays the medical bills for ALL FOSTERS, whether long or short-term. Pre-approval by the Adoptions Counselor or another Board Member is required for all vet visits. *In the case of a life-threatening emergency, take your foster Pug to the vet and call for approval from the vet's office.

Initial to confirm your understanding and agreement

Are you allergic to any animals?

If Yes, Explain

What pets do you have now?

Personal Reference

Name

Address

Phone

Your Veterinarian

Name

Address

Name

First

Last

- (copy)

Phone

I have read and agree to the terms above:

First

Last

It is the goal and intent of Pug Rescue to adopt every dog received into a new, permanent home as soon as possible.

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You can mail a check to our PO Box:
Pug Rescue of San Diego County
PO BOX 151449, San Diego, CA 92175-1449

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