Queen's Best Stumpy Dog Rescue Foster/Adoption Form

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Are you looking to foster or adopt?

Foster

Adopt

Full Name *

Primary phone number *

Secondary phone number

Best time to call *

Required

Email address *

Address *

How long have you been at this residence? *

How many people live in the household? Please describe their relation to you. *

Occupation and Company Name *

How many children live in this home? *

0 - None

Other:

Required

How old are your children? *

What type of home do you live in? *

Single Family

Apartment

Condo

Mobile Home

Farm

Required

Do you rent or own? *

If you own, please furnish proof of home ownership.

Rent

Own

If you rent, please provide rules governing pets and the landlord’s name and number: *

(by providing this information you are allowing QBSDR to contact your landlord. Please inform them of this call so they will speak with us)

Have you received permission from your landlord? *

Please describe your household's activity level. *

What activities do you enjoy?

Does anyone in the family have a known allergy to dogs? *

Yes

Unknown

Required

How much time do you spend away from your home? *

Do you have a petsitter when away on vacation?

Where will the dog spend the day? *

Please describe

Where will the dog spend the night? *

Please describe

Please list your current veterinarian's information if you currently have one. *

Do you prefer a male or female dog, or are you indifferent? *

All QBSDR dogs are spayed or neutered, microchipped, and up to date on vaccinations.

When the dog goes out, how do you plan to supervise it? Do you have a fenced yard? *

Do you have any current pets? If so, what kinds? *

None

Dog(s)

Cat(s)

Bird(s)

Mice/Hamsters and other small animals

Other:

Please describe your existing pets *

Type (and/or breed), Name, Age, Sex, Spayed/Neutered?, Kept indoor, outdoor, or both? How long have you owned the pet(s)?

If you have pets, how many of each do you have? *

Please describe your past pet history *

Please enter n/a if you do not have past pet history.

Is there a particular dog you are interested in? *

What do you think makes this particular pet a good choice for you? *

What happen's to your pet when you move? *

Please describe your experience with dogs. *

Have you ever completed an obedience class?

Do you keep collars and ID tags on your pet at all times? If no, please explain why. *

Have you had experience with this particular breed? *

Have you ever had to give up a pet? Please explain. *

Have you ever adopted from a rescue organization? If yes, which organization and how many pets? *

Do you have a low stress level? *

Rescued dogs take time to adjust and some have special needs. It takes time and patience. Ask yourself if you are up to the challenge.

Do you have any additional comments you would like to share?

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