Foster Application | Heartland Cavalier

PLEASE REVIEW BEFORE SUBMITTING

Thanks for your interest in fostering for our rescue! Foster families must live within driving distance of Fort Wayne, Indiana and be willing to transport their foster dog to Fort Wayne veterinary practices for medical appointments as needed. We require all applicants that have a dog to keep them up to date on vaccines, be neutered/spayed, and use heart worm preventative regularly. We do not approve foster households using invisible fences, shock collars, prong collars, or choke collars.

First name

Last name

Email

Phone

Address

City, State

Zip Code

Occupation

Number of hours you work outside the home per week

Spouse's name

Spouse's Occupation

Number of hours spouse works per week outside the home

Please list the names and ages of all people living in your household (excluding spouse)

Are any members of your household allergic to dogs?

Yes

No

Please list the names, species, breed if known, and ages of all animals living in your household

Please list how many years you have been at your current residence.

Please indicate whether you own or rent your residence

Own

Rent

Other

Please indicate if your residence has a yard, and if applicable, what type of fence

Please describe your typical daily routine

Please list all previously owned dogs and how long you cared for each of them

Do you allow Heartland Cavalier Connection Inc to contact your veterinarian as a reference? Please list clinic name, contact information, and pet's name.

What type of dog food do you feed to your dog/s?

Please list all training techniques, training classes, and tools you have used on previous and current pets.

Please describe any experience you might already have fostering animals.

Have you ever rehomed or surrendered a dog? If so, please describe the circumstances.

Why are you interested in fostering a dog at this time?

When you are traveling, who cares for your dog?

Are your dogs allowed on your furniture?

Where do your dogs sleep?

Do you walk your dogs on leash when they are not on your property?

Are you aware that Cavalier King Charles Spaniels can have a variety of health issues, including mitral valve disease, luxating patellas, corneal ulcers, and syringomyelia?

If you have a preference, please list desired dog's age, activity level, and special need status.

As you may be driving with the foster dog, please upload a photo of your driver's license.

As you may be driving with the foster dog, please upload a photo of proof of auto insurance.

I agree to complete the Fear Free Shelters course (5 hours in length), at no cost to me.

I allow Heartland Cavalier Connection Inc to visit my home to do a scheduled home visit before my foster application is approved, as well as evaluate my pets for behavioral issues.

I allow Heartland Cavalier Connection Inc to contact my veterinarian for a medical reference.

I understand that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Heartland Cavalier Connection Inc from any claim or suit filed by anyone as a result of such an incident. In addition, our organization will not be responsible if animal should damage or destroy property belonging to me or others, or shall transfer any disease or internal or external parasites to other animals belonging to me or other animals.

If my application is approved, I agree to review the foster care agreement and abide by policies described.

Yes, subscribe me to your newsletter.

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