LOW COUNTRY GOLDEN RETRIEVER RESCUE RESOURCE
FOSTER APPLICATION

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PLEASE PRINT ALL INFORMATION

First Name: _________________ Last Name: _____________________________________

Co-Applicant: ________________________________________________________________

Street address: ______________________________________________________________

Mailing address (if different) _______________________________________________

City: _________________________________ State _____ Zip ___________

Home Phone:__________________________ Work Phone(s): _________________________

Email Address: _______________________________________________________________

A complete answer to the following questions will enable us to be more familiar with your situation and will help us find the right Golden Retriever for you to foster.

Please list and give the ages of ANY children who live with you or visit on a regular basis: _______________________________________________________________
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Do they share your interest in fostering a Golden Retriever? _________________

Please list and give the ages of all animals, breed and their neuter status who live with you: ___________________________________________________________
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How do(es) your dog(s) react to other dogs? __________________________________

Are ALL the dogs in your household current on ALL recommended and/or required vaccinations? YES ___ or NO ___

Please list dates of last vaccination:

Rabies: ________ DHLPP: _______ Bordetella: __________ Other: ________________

May we visit your home prior to application approval? YES ___ or NO ___

Please provide the full name, address, and phone number of your current veterinarian:
Name ________________________________________________ Phone __________________
City _____________________________________ State ______ Zip __________________

Do we have permission to contact your veterinarian? YES __  or NO __

Do you own ___ / rent ___?
If you rent:
   Landlord's Name_______________________________ Phone number _______________
   Do you have the permission of your landlord to have a dog? YES __ NO ___
   Up to what size? _____________

Will the dog be allowed in the house? YES__  NO ___

How long will the dog be left alone? _______________

Where will the dog stay when you are away from the house? ____________________

Where will the dog sleep at night ____________________________________________

Will your dog: (Check all that apply)
___ have the run of the house
___ be in blocked-off parts of the house
___ be tied outside
___ or live in the yard

Are you familiar with the use of a dog crate to train and/or confine the pet during your absence or at night? YES ___ or NO ___ Are you willing to use a crate? YES__ or NO ___

Is your yard fenced? YES ___or NO ___ Type/Height of fence? __________________

If you do not have a fence, do you plan to install one? YES ___ or NO ___

Size of dog's yard area _________ Will the dog be walked daily? YES__ or NO___

Exercised in a fenced yard? YES__ or NO__ Allowed to run free? YES___ or NO___

What type of dog training experience do you have? ____________________________
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Have you ever owned a Golden Retriever? YES__ or NO

Please tell any experience you have had introducing new adult dogs into your household: ___________________________________________________________________
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Are you familiar with the concept of who in the household is Alpha, or top dog YES___ or NO___   If yes please describe: ____________________________________
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Should a disagreement or fight occur between your own dog and a foster, how would you handle the situation? What actions would you take to avoid this situation? ___________________________________________________________________
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Are you willing to supervise any children around your foster dog AT ALL TIMES? YES___ or NO___

Please describe the type of foster dog you are willing to have in your home, i.e. seniors, puppy, special needs, heartworm positive, medical conditions, recuperating from surgery etc. _______________________________________________
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How many dogs are you willing to foster at one time? _______________

Please describe your level of experience as a dog owner, and provide an honest assessment of your abilities to deal with any problem behaviors a foster dog might exhibit ( i.e. barking, digging, growling, chewing, food possessiveness, jumping, lack of house training etc) _________________________________________
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Please tell us how you became aware of LCGRR and its programs:
Referral from whom? ________________ Web link from where? ____________________
Flyer __________ Web search _______________ Other:____________________________

Completion and submission of this application does not guarantee placement of a foster dog through Low Country Golden Retriever Rescue.

Applicant's Name: ____________________________________________________________

Applicants Signature: __________________________________ Date: _______________
 

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Return completed form to:
LCGRR,  P.O. Box 31256, Charleston SC 29417