Temporary Foster Form Temporary Foster FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please answer as honestly as possible. If we later find things have been omitted from your form, we may refuse to help with temporarily fostering your dog. Honest answers ensure that we get the best possible home for your dog. We do ask for a copy of your ID and a photo of a recent bill so that we can confirm the details on the microchip We must have a copy of the medical history and the microchip number for the dog before we can consider helping. Full name *FirstLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeEmail *Contact number *What is your preferred method of contact *EmailSMSPhoneWhatsAppWhat time is best to contact you? *MorningAfternoonEveningAnytimePlease upload the following items 1. Copy of passport or driving licence 2. Photo of a utility bill dated within the last 3 months 3. Photos of your dog 4. Your dog’s medical history Please upload here * Drag & Drop Files, Choose Files to Upload You can upload up to 6 files. Dog's name *Dog's age *Colour *Sex *Full tail or docked *Neutered/spayed *Dog's breed *Microhip number *How long have you owned your dog? *In this next section we kindly ask that you include everything your dog has ever been to the vet for no matter how insignificant this is (excluding flea and worm treatment and vaccinations). This helps us enormously where there have been behaviour issues and experience has shown that where a dog has suddenly become aggressive it is due to health problems that were flagged up but seemed to put themselves right or a flare up of a pre-existing condition. Does your dog suffer from any ongoing health issues?Is your dog currently receiving any medications?Any known allergies or dietary needs? *Date of last flea treatment *Date of last worm treatment *Date of last flea vaccination *Has your dog been vaccinated for kennel cough? *Vet detailsAddress Line 1Address Line 2CityState / Province / RegionPostal CodeVet contact number *Vet email *When was your dog last seen by a vet and what for? *When did you dog last have a health check? *How is your dog with other dogs? *How is your dog on a lead? *Doe syour dog have time off lead? What is their recall like? *How often is your dog walked and for how long? *Where do you walk your dog? *e.g. Roads, canals, fields etc.What equipment is used for walking? *Slip lead. harness etc.Does your dog take part in any other activities? *If yes, please describeHas your dog received any form of training? *If yes, please describeWhat type of training is used? *e.g. reward basedWill your dog sit/stay on command? *Is your dog tolerant of cats? *Has your dog ever attacked another animal? * Does temporary your Has your dog ever attempted to attack another animal? *Has your dog ever bitten a person? *Has your dog ever attempted to bite a person? *How is your dog with other animals in the home? *e.g. rabbits, hamsters, guinea pigsWoukld you consider your dog to suffer from separation anxiety? *Can you leave your dog unattended in the home? *If so, for how long? Can your dog be trusted not to chew?Has your dog been brought up with children? *If so, what ages and how does the dog get along with them?How is your dog with toys? Happy to share or guards? *Does your dog dig? *— Select Choice —YesNoDoes your dog jump fences? *— Select Choice —YesNoIs your dog housetrained? *— Select Choice —YesNoIs your dog crate trained? *— Select Choice —YesNoDoes your dog bark a lot? *— Select Choice —YesNoDoes your dog sleep inside or outside *— Select Choice —InsideOutsideHas your dog ever been left in kennels? *— Select Choice —YesNoDoes your dog travel well in the car? *— Select Choice —YesNoWhat is the furthest your dog has travelled? *How is your dog secured in your car? *e.g. in a crate, harness attached to seatbelt, harness attached to headrest How is your dog when strangers visit your home? *How is your dog with strangers outside the home? *How is your dog when being groomed? *How is your dog at the vet? *Is your dog frightened by loud noises, traffic or fireworks? *Does your dog have any of the following issues?Jumping upChewingFear of objectsLicking feetScratching skin/earsShaking headWhat brand of dog food do you feed your dog? *How many times a day/what times? *How much? *Will any food be handed over with dog? *What is your reason for requesting temporary fostering? *All information given on this form will be treated in the strictest confidence and will not be shared outside of UK Spaniel RescueHow long will you need your dog to be fostered for? *If you are not sure, please try and give an estimationWill any possessions be handed over with dog? (If possible it would be nice for your dog to have its bed or blanket handed over with it) *Is there anything else we need to know about your dog? *e.g. verbal cues, favourite toy etc.I confirm that 1. Should my dog be temporarily fostered by UK Spaniel Rescue, I give my consent for any decisions regarding my dog’s welfare to be made by the Trustees of the rescue. I will re-imburse any costs incurred whilst my dog is in their care 2. The details I have provided are true to the best of my knowledge and I have not concealed any details regarding the safety or health of my dog I agree to my contact details being used as part of the fostering process I will contact my veterinary practice to send my dog’s medical history to UK Spaniel Rescue at hello@ukspanielrescue.co.uk 3. I understand that submitting this form does not constitute an agreement to foster my dog until I am provided with, and sign, a Temporary Foster Agreement 4. The dog on this form is not subject to any ownership disputes or legal proceedings and the microchip is registered to me Signature Clear Signature Date *Where did you hear about us? *©UK Spaniel Rescue 2024 Copyright Notice Submit
