Foster Application | Dachshund Rescue of Los Angeles

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Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Alternate Phone
Email*
What type of home do you have?*
- House
- Condo
- Apartment
- Mobile Home
Do you own or rent your home?*
- Own
- Rent
If renting, does your landlord allow pets?*
- Yes
- No
- N/A
how many hours are you away from home, daily, for work etc?*
Are there stairs in the home?*
- Yes
- No
How many people are living in the home?*
Please list your name and age. Also list the names and ages of any others living in the home. Your application will not be considered without this information.*
Do you frequently have small children visiting your home?*
- Yes
- No
Does anyone in the home smoke?*
- Yes
- No
If yes, do you/they smoke indoors or outdoors?*
- Indoors
- Outdoors
- Both
- No smokers in the home
Briefly explain the main reason why you want to foster a Dachshund:*
Where will the dog(s) sleep at night?*
- In their own bed
- In a closed-off room
- In bed with us
- Wherever they want
- Other
Do you have a fenced in yard?*
- No
- Block Wall
- Chain Link
- Wood
- Other
Do you have a pool?*
- No
- With security fence
- Open to the yard
Do you use a pool service, gardening service or a cleaning service?*
- None of the above
- Pool service
- Gardening service
- Cleaning service
- Pool and Gardening services
- Pool and Cleaning services
- Gardening and Cleaning services
- All three
If you use one or more of the above, what steps do you take to prevent them from letting your pets out? (Type "N/A" if you don't use any of the services)*
Please list pets you now have in your home. Be sure to include the following information on each of your current pets: Type/Breed, Sex, Spayed/Neutered, Age, Owned Since (age)*

example: Dachshund, Female, Spayed, 4, 6 weeks
Are all your pets spayed/neutered?*
- Yes
- No
Would you foster a dog that is older (6 yrs. and up)?*
- Yes
- No
Would you foster a dog that has been abused?*
- Yes
- No
Would you foster a dog that is not reliable with children?*
- Yes
- No
Would you foster a dog that has a physical handicap?*
- Yes
- No
Would you foster a dog that requires regular medication?*
- Yes
- No
Would you foster a dog that requires house training?*
- Yes
- No
Where will the dogs be kept when you are away from home or at work?*
Is there a limited amount of time you can foster?*
- Yes
- No
Reference #1: Name*
Reference #1: Phone Number*
Reference #2: Name*
Reference #2: Phone Number*

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Your donations will help save lives and will contribute to:

Shelter Fees
Spay/Neutering
Medical Treatment
Fostering Expenses
Transportation Expenses

Thank you!

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For Adoption

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