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Date:
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Applicant's Name:
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Co-Applicant's Name:
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Email Address:
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Address:
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Cell Phone Number:
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Home Phone Number:
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Work Phone Number:
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Driver's License Number and State You Reside In:
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Occupation(s):
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Do you live in a:
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Do You Rent or Own:
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If you rent, do you have the landlord's permission to keep a dog? Please e-mail a copy of the landlord's permission letter and your pet deposit receipt to apps@texascollierescue.org.
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Select all of the following that apply, Do you have?
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Select all of the following that apply, Do you have?
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A yard.
Is your yard fenced.
Do you have a doggie door.
Does it open up into a fenced in yard.
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What type of fencing is your fence? (Wood - Chain Link - Other_________)
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If you live in an apartment/townhome, is there a safe place to walk/exercise the dog?
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Is someone home during the day?
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Explain....
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What provisions will be made for your foster Collie/Sheltie if nobody is home during the day?
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Loose Inside
In Crate
In Fenced Yard
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Where do you intend to keep this dog primarily?
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Indoors
Outdoors
Other
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If other, please explain
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Where will this foster dog sleep?
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What provisions will be made for your foster Collie/Sheltie in the case of an unforseen emergency event?
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Evacuation Provisions?
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During the last two years, have you lost a pet (not through death)? Explain?
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Have you had one poisoned? Explain?
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Have you had a pet killed by a vehicle? Explain?
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Have you had one die due to disease? Explain?
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Do you have other pets at home?
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If so, Please list their types and ages.
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Are the pets spayed/neutered?
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If resident pets are not neutered, please explain as Texas Collie Rescue prefers not to place dogs in un-neutered homes. This will help us determine which Collie/Sheltie to put into a potential new foster home.
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Are the pets vaccinated and on heartworm preventative?
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Do your pets get along with other animals?
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What happened to your last dog?
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Veterinarian Information:
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Veterinarian Name:
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Phone Number:
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Name of Clinic:
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Address:
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What name are medical records listed under at the Vet's office.
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Do you have children at home?
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If yes, number and their ages.
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Do you have a breed preference? (Collie or Sheltie)
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Do you have a sex preference? (Male or Female)
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What age range would you prefer?
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Would you consider and older dog?
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If yes, to what age?
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Are other members of your household aware that you are considering fostering a Collie/Sheltie?
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Does everyone in your household want a foster dog?
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Texas Collie Rescue will provide all medical care, heartworm, and parasite preventative. Are you prepared to assume the responsibilities of feeding, bathing, grooming, and caring for your foster Collie/Sheltie, including emotional rehabilitation for a traumatized dog and crating for a dog going through heartworm treatment?
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Will you follow all Veterinarian instructions provided and administer all prescription medications and heartworm preventative to your foster Collie/Sheltie?
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Yes
No
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Are you prepared to assume the responsibilities of contacting Texas Collie Rescue for an medical emergencies? For example, if a dog is going through heartworm treatment and begins throwing up and becomes listless, this may be an emergency!
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Will you let a Texas Collie Rescue Director know if you are planning to take your foster Collie/Sheltie out of town or state for family visits and recreation?
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Although Texas Collie Rescue does not accept vicious dogs into our program, we do not know the histories of many of our rescues. Are you prepared to contact a Texas Collie Rescue Director immediately if your foster Collie/Sheltie bites anyone or seriously injures another pet?
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Will you keep the dog confined in a fenced yard when you let outdoors, walk or exercise, the foster Collie/Sheltie regularly, and allow the dog indoors?
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Are you aware that Collies and Shelties are know for being "Barkers"?
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Do you understand that both Collies and Shelties can be shy and aloof with new people?
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Are you prepared to do the extra grooming that Rough Collies and Sheltie's double coat requires?
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Are you willing to allow a Texas Collie Rescue representative to visit your home by appointment?
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Foster parents are encouraged to maintain an "Aunt' & "Uncle" relationship with the foster Collie/Sheltie in their care. However, occasionally the foster parent and the Collie/Sheltie will bond so completely that adoption into this home is best for the Collie/Sheltie and family.
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Do you understand that if you wish to adopt your foster Collie/Sheltie you must complete the Adoption Application and Adoption Agreement and pay the $325.00 adoption fee for an adult over 12 months through 9 years, $350.00 for a puppy up to and including 12 months, and $250.00 for dogs age 10 years and older or for Collie or Sheltie mixes? This is payable immeduately by check, cash, or money order upon the decision to adpot the dog.
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I have read, and I am in full agreement with th Texas Collie Rescue, Inc. Terms of Foster Car. By Signing beow I am attesting to the truthfulness of my answers on the above application.
I/We hearby state that all of the information given is true and accurate, and I/We are 18 years of age or older, that I/We have never been convicted of any ats of cruelty to animals, nor that I/We currently engage in the sale of animals to dealers, pet stores, or research facilities.
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Date:
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Please fill in the word below in the box:
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