CONTACT INFORMATION Name of Pet * PET INFORMATION
Please note: The dog’s height/weight may determine the type of foster home .
Pet Age/Date of Birth * Breed * Height to Shoulder * Weight * Colouring * Distinctive Markings * How long has this dog been with you? * How did you acquire the dog? *
If from a rescue, please provide name of the rescue organization.
PET FOOD Preferred Pet Food Brand * Feeding Schedule and Amount * Preferred Treats *
(i.e., likes, dislikes, special instructions)
BEHAVIOUR/SOCIALIZATION Has your dog received any training? * At what age and by whom? * Does your dog climb/jump fences? * Does your dog dig outside? * Does your dog bolt outdoors? * Does your dog react to other dogs/animals/people while on walks? * Does your dog react to visitors/cats/children while inside? * Does your dog sleep overnight in a crate or kennel? * Does your dog remain quiet if left in a crate or kennel while alone during the day? * Has your dog ever suffered from separation anxiety? * Has your dog lived with other dogs and/or cats? * If so, how does it behave with them? * Has this dog ever bitten or been aggressive? * If yes, please describe... * How does your dog react acround children? * EXERCISE How active is your dog? * What distance is your dog able to walk? * Is your dog able to walk up and down stairs? * Is your dog leash/harness trained? * MEDICAL
Please list the most recent dates for the following...
Last vet check-up * Deflea * Deworming * Please describe in detail any existing or previous medical conditions, surguries, injuries, or ongoing treatments: * Is your dog currently on medication? * Name of Medication(s) * Condition(s) Being Treated * Medication Instructions *
(i.e., dosage, timing, warnings)
Has your dog received this medication in the past? * Does this require follow-up vet care? * If so, how often? * OTHER INFORMATION Please provide any other information that will assist us in placing your dog in the most appropriate foster home.
Should pertinent details be omitted, we may be forced to remove the pet from foster care. This will be discussed with you.
AGREEMENT Request for Service Agreement