If renting/other, do you have permission to house a Dane.
Clear selection
Please list the names and ages of ALL people living in your home.
Your answer
Are there any regular visitors who will be in contact with foster dogs? (ie children, grandchildren, employees, other pets). *
Your answer
Do you have other pets living in your home? *
Please list ALL pets living in your house. Include name, breed, age, sex, alteration status.
Your answer
Are your animals current on all vaccinations, including Bordetella for dogs? *
Are your animals accepting of new dogs in their home? *
Do your pet(s) have a safe haven away from foster dogs? *
Do you have livestock that your foster dog could be in contact with? *
Please explain your experience with other animals.
Your answer
Please list dog breeds you have had experience with, specify if Great Danes, and the experience level (training, showing, breeding, family pets, etc.)
Your answer
If you have fostered before? when/how/with who?
Your answer
Preferences or restrictions with foster dogs? (M/F, etc)
Your answer
Do you have an area to isolate a dog for health reasons? *
Can you accommodate a NWGDR crate at least 4 feet long? *
Will you foster a dog with: *
Yes
No
Kennel cough
Injuries
Mother/litter
Puppy (under 6 mo.)
Not potty trained
Yes
No
Kennel cough
Injuries
Mother/litter
Puppy (under 6 mo.)
Not potty trained
Do you have special animal care skills (trainer, groomer, etc.)?
Your answer
Fostering a dog may put you over a legal pet limit. Does your city/county have a dog limit and/or a fostering exception for rescue organizations? *
Have you, or other persons in your home, ever received a complaint from Animal Control; or been convicted of any felony; of an animal-related misdemeanor? *
If yes, please explain:
Your answer
Length of time you are willing foster a dog? *
Your answer
Hours per day your dog would be unattended? *
Your answer
During the day, where will the dog be housed? *
Check all that apply
Required
At night, where will the dog be housed? *
Check all that apply
Can you transport a Dane if necessary? *
Do you have a fenced yard? *
If yes, please specify type and height.
Your answer
Do you have a crate? *
If yes, please specify type and size.
Your answer
Do you have a kennel run? *
If yes, please specify type and size.
Your answer
Any other secure confinement you can provide?
Your answer
Please list your VETERINARIAN *
Please include name, city and state, and telephone number
Your answer
Please list a non-relative REFERENCE who is knowledgeable about your care of dogs *
Please include name and telephone number
Your answer
I certify that the above information is true and correct. I understand that I must keep control of all animals in my home and will be responsible for injuries by/to a foster dog. I give permission for NWGDR to contact above references to obtain information about me and/or my care of/work with animals. Information from this form, and any interviews, will be kept confidential by NWGDR unless disclosure is required by law. *
By signing below (including electronic signature), I agree to hold NWGDR harmless for Injuries or damages caused by NWGDR foster dogs. *