Foster Contact Information Co-Applicant (if applicable) Address City State ZIP Home Phone Your Work Phone Your Cell Phone Your Email Address Spouse s Email Address (if applicable) Your Occupation Spouse's Occupation (if applicable) About You Have you owned a dog before? Do you rent or own your current residence: Rent Own Have you owned a Doberman before? How long at current address? Describe Residence: House Townhouse Apt./Condo Mobile Home Other If you rent: Has a pet deposit been paid? Are there any restrictions on pet size/ breed Landlord : Landlord Phone Number: How many times have you moved in the past 5 years? Reason(s) How many people, including yourself, live in your household? What are their ages? Do you plan on moving in the next few years? Who will be primarily responsible for the dog? Is anyone in the household allergic to animals? Is everyone in the household aware of your intention to foster a pet? Are you willing to attend a basic obedience course with your Doberman? What level of activity in a dog would be ideal for you? Explain Are you willing to let a representative of HADR visit your home? Describe any training you have had with current or past pets How do you plan on exercising the dog? Describe the causes and prevention of heartworm disease: Will you keep your foster on heartworm preventative? Have you checked the available dogs on our website? What is your timeframe for fostering? If so, which dog are you interested in fostering? Preferences Revision A (9/10/2015) Foster Page 1 of 6
Sex: Male Female No Preference Ears: Natural Cropped No Preference : Puppy Juvenile Young Adult Adult No Preference Color: Black/Tan Red Fawn Blue Albino No Preference Tail: Natural Docked No Preference Current Pets (list each pet individually) Firsts Pet: Type of Pet If dog, please provide breed Weight How long have you had pet? Spayed/Neutered? Percent of Time Pet is Kept: Outdoors % Second Pet: Type of Pet Gets along with other pets Indoors % Crate % If dog, please provide breed Weight How long have you had pet? Spayed/Neutered? Percent of Time Pet is Kept: Outdoors % Third Pet: Type of Pet Gets along with other pets Indoors % Crate % If dog, please provide breed Weight How long have you had pet? Spayed/Neutered? Percent of Time Pet is Kept: Outdoors % Are all pet s rabies and other vaccinations current? Tell us anything about your other pets you want us to know: Gets along with other pets Indoors % Crate % Are dog(s) on heartworm preventative? Revision A (9/10/2015) Foster Page 2 of 6
Prior Pets (list each pet individually) Type of Pet #1 Type of Pet #2 Type of Pet #3 Type of Pet #4 If any of the above were given away, returned to a breeder or taken to a pound, shelter, or rescue please explain the reason. References (Provide the name, relationship, e-mail, and/or telephone number of two references. (At least one reference should not be related to you.) Reference #1 Relationship Telephone Email Reference #2 Relationship Telephone Email Reference #3 Relationship Telephone Email Vet Vet Email Address Vet Address Vet City Vet State Vet Zip Vet Phone Vet Fax Revision A (9/10/2015) Foster Page 3 of 6
Have you applied to foster from other rescue groups (any breed)? Please List: About the Dog Where will the foster be kept during the day? How many hours a day will it be alone? Where will the foster be kept at night? How will the foster be kept confined to your property? Check all that apply: Fenced yard On a leash Kennel Chain Garage Patio Inside only Other Where will the foster stay when you are out of town? Check all of the following that may cause you to have to stop fostering the foster dog: Foster is Adopted Birth of a child New roommate Marriage Divorce Unemployment Pet becomes ill requiring regular medication Allergies Other What will you with the foster if this occurs? What will you do with the foster if you move? Methods you plan to use to discourage unwanted behavior(s). What kind of personality traits are you NOT willing to live with? Check all that apply. Excessive barking Unfriendly toward other pets Digging Jumps on people Bite Other As a Doberman Rescuer, I pledge: 1. To perform Doberman Rescue as a non-profit endeavor. My rescue work will be voluntary, not performed to profit any organization or individual. 2. To assure that Rescue Dobermans are not bred by spaying or neutering all dogs before adopting them to new owners, unless there is a compelling medical reason not to spay/neuter before adoption. If I place a dog intact due to a compelling medical reason, I will thoroughly educate the adopter on the risks of accidental breeding and precautions that must be taken, require a written agreement by the adopter to prevent the accidental or intentional breeding of the dog, require the adopter to spay or neuter the dog as soon as the medical condition is resolved, and remain in close contact with the adopter to ensure the dog is not bred. If I breed Dobermans (in addition to handling Rescue Dobermans) I will do so in accordance with the HADR Standard Operating Procedure and I will not use my rescue activities as a bait-and-switch tactic to sell puppies I breed. 3. To rescue albino (white) Dobermans the same as any other Doberman of an allowed color, and to ensure that every albino Doberman in my care, custody or control is spayed or neutered and under no circumstances allowed to be bred. I will provide any adopter of an albino Doberman with educational materials. I will educate the adopter concerning the health problems related to albinism. I will encourage the adopter to educate third parties that express an interest in owning an albino Doberman. Revision A (9/10/2015) Foster Page 4 of 6
4. To house Rescue Dobermans in safe, humane, sanitary conditions, which meet or exceed all minimum standards as defined by local health, animal control and sanitation authorities, and to provide Rescue Dobermans with appropriate food, clean water, and shelter. I will pay attention to and care for the emotional needs of the Dobermans I receive into my Rescue Program. I will provide a secure, stable environment for the dogs and will interact one-on-one with them as much as possible; in order to properly assess their temperament and special needs for placement. 5. To provide necessary veterinary care and appropriate routine veterinarian care for Rescue Dobermans including, as appropriate, regular inoculations, heart worm testing, administration of heart worm preventative, treatment for intestinal parasites, and emergency care. To the best of my abilities and resources, I will provide appropriate medical care and training towards the goal of putting each dog in the best possible condition for a permanent adoption. 6. To not knowingly place a vicious or otherwise seriously temperamentally unsound dog in an adoptive home. 7. If a dog comes into my rescue s care with AKC papers or a breeder s microchip is discovered, I will make a reasonable attempt to contact the breeder to inquire about return of the dog, and/or assistance in placing the dog. In accordance with paragraph 2, the dog would be spayed or neutered before being returned to the breeder, and the breeder would be asked to contribute to that expense. If the dog turns out to be the breeder s personal dog, every attempt will be made to return the dog to the breeder intact, provided, however, that this does not violate any county, state or local shelter license requirements, restrictions, laws or regulations. 8. That I will only recommend euthanasia for Rescue Dobermans that are determined to be unadoptable due to serious health or temperament problems. Rescue Dobermans that are euthanized will be humanely euthanized by a veterinarian or certified euthanasia technician and properly disposed of. Rescue Dobermans that are deemed unadoptable due to serious health, temperament, or other problems may be placed with a humane and knowledgeable hospice care provider, when available. 9. To thoroughly evaluate potential adopters utilizing a combination of written applications, home visits, checking vet references, telephone interviews, face-to-face interviews, and personal reference checks, as appropriate, with the goal of placing all Rescue Dobermans in homes that are appropriate to the Doberman breed and specifically appropriate to each individual Rescue Doberman's needs. 10. To utilize a written adoption contract for each Rescue Doberman. 11. To fully disclose all relevant information that is known at the time of placement or adoption regarding the health and temperament of each Rescue Doberman. 12. To provide each adopter with information on the Doberman Pinscher Breed, common diseases, crate training, housebreaking, basic obedience, and appropriate standard of care. 13. To provide follow up advice and assistance to adopters. 14. To require every adopter to return the adopted Doberman to me if he/she can no longer keep it. I will always accept the return of a dog that has been adopted from me. Revision A (9/10/2015) Foster Page 5 of 6
Signatures I certify that the above information is true and correct. I am aware that any false information may result in nullifying this application. I will not hold, Inc. or any of its representatives, volunteers or agents financially or legally responsible for any damage to my person, person(s) in my household or property. I understand that any Foster dog placed by, Inc. in my home will be placed in a permanent home. I will make every effort to assist Houston Area Doberman Rescue in placing any Foster dog into a permanent home. If I desire to retain possession of the Foster dog, I will be required to sign an adoption contract and pay an adoption fee. reserves the right to deny this application for any reason. I am in full agreement with these terms. I further acknowledge that submission of this application is no guarantee of being approved for fostering. Your Signature Date Co-applicant s Signature Date Revision A (9/10/2015) Foster Page 6 of 6