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Melbourne Dog Rescue Inc. (A049467Y) - Foster Care Application Form

Personal Details *First Name *Last Name Street Address *Suburb Post Code *Home Phone Number Work Phone Number Mobile *Email

People living at the premises:

How many adults?

1 2 3 more

How many children?

none 1 2 3 more
How old is/are the Child/Children?

Identification

Drivers Licence or Passport Number (Will need to sight):

*fields with an asterisk are required

Questionnaire Type(s) of dogs you are interested in fostering (small, large, certain breeds etc, other):

Have you fostered animals before?

yes no
If not, what experience have you had with animals that would be helpful in fostering?

Do you have any experience training and working with dogs with behavioural issues?

yes no
If yes, please describe

Do you live in a:

House Apartment Rural Other

Do you have a fenced yard?

yes no
If yes, what height are fences

Do any members of your household have allergies?

yes no

Will you be able to keep the foster animals separate from your own if necessary? (This usually applies to emergency situations only)

yes no
Where do you plan to keep your foster animals? How many hours per day will your foster animals be without adult care? What will you do to find your foster animal if it becomes lost? What pets have you had in the past, if any? Where are they now

Do you have any pets in your household now?

yes no
If yes, what type and how many? What are their ages?

Are they spayed or neutered?

spayed neutered

Are their vaccinations current?

yes no

Are they currently registered?

yes no
If dog(s) what breed(s) are they? Where do your current pets sleep? Where do they stay when you are out? How did you hear about the foster program

Can you accept the fact that some animals will not survive or may have to be euthanized and that this decision is up to Melbourne Dog Rescue?

yes no

Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the standard adoption process, and approval of candidates and placement of animals is a collaborative effort of both the foster carer and Melbourne Dog Rescue?

yes no

Before you submit please read this carefully:

I have answered the questions above truthfully and completely. I understand that although Melbourne Dog Rescue Inc. takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the dogs’ health, behaviour or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which Melbourne Dog Rescue has asked me to provide care. I indemnify and hold Melbourne Dog Rescue free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement.

We reserve the right to refuse any applicant!

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