Foster Home Application

Samoyed Club of Austin, Inc.
Foster Home Application

Thank you for volunteering your heart and home to a rescued Samoyed. The information you provide on this form helps us make a better match between each Samoyed and a prospective foster home. If you fill out the application electronically, please print the completed application (prior to clicking SUBMIT button), sign and return to: Samoyed Club of Austin-Rescue, 158 Synergy Drive, Unit E, Bastrop, TX 78602. Again, THANK YOU FOR CARING!

Name:							Date:
Spouse's Name:				(If single, please state so)
Address:				City: State: Zip:
Phone:	Home					Spouse:	Home
	Work						Work
	Mobile						Mobile
Email:
Employer:
Occupation:
Spouse Employer:
Spouse Occupation:
Number and adults in household over age 18:
Number and ages of children in the household:
Are ALL family members willing to care for foster dog? Yes No If not, please explain:

Type of residence?			Apartment Condo House Other


If you rent or lease, do you have permission from your landlord to own a medium/large dog?

Will the foster dog live inside the residence? Yes No If not, please explain:

Do you have a fenced yard?		Yes No
Type of fence?		Wood Chain link Other			Other, describe
Height of fence?		Less than 3' 3' 4'			5' 6' 8'
If no fence, where will the dog be allowed to eliminate?

What other dogs have you previously owned?

What happened to them?

What other dogs or animals currently live in the household? How many and what are their genders and ages?

Have you ever used a dog crate?		Yes No
Do you own a dog crate?		Yes No
How will you transport your foster dog? (car, van, truck, etc.)

Will the dog be crated during transportation? Yes No If not, please explain:

Why do you want to become a foster home?

Tell us about your previous experience(s) with Samoyeds:

If you have no previous experience with Samoyeds, please tell us what you know about the breed:

How did you hear about the Samoyed Club of Austin?

The Samoyed Club of Austin will do it’s best to see that dogs are surgically altered BEFORE they enter a foster home environment to help prevent further overpopulation of our breed. With this understanding, do you have a preference as to the sex of your foster dog?
Do you have a preference for gender?				Male Female No Preference
It is crucial that our foster dogs be made available to the general public so that they have every opportunity to be adopted. By signing this agreement, you agree to make the rescue dog available to prospective adopters.

WE RESERVE THE RIGHT TO REFUSE ANY APPLICANT Note: Signature required after approval & prior to rescue leaving for their foster home Questions? - Email Rescue at scaustin@hotmail.com

Left click the "Submit" button only once to send your application to Rescue, thank you.