Foster Application | Dachshund Rescue of Los Angeles

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?*

Briefly explain the main reason why you want to foster a Dachshund:*

Where will the dog(s) sleep at night?*

Do you have a fenced in yard?*

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?*

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*