Fields marked with an * are required
Foster Application
I/We are applying to: *
Gender Preference:
Leave blank if no preference
Preferred Dog Age: *
First Name: *
Last Name: *
Street Address:
City:
State:
Postal Code:
Phone (home): *
Phone (work):
Phone (Mobile):
Email: a copy of your submission will be emailed to you if email provided
Current Employer:
Job Title:
Residence
Residence Information:
Please describe where you live
Rental/Apt is OK for Pet?:
Only answer this question if you are a renter. Yes indicates that you have your landlord's permission to keep a dog.
Landlord name and number (if renter):
City Limit for Pet:
It will be necessary for you to know if there is a limit of dogs (pets) imposed by a local ordinance. Please check with your village or city.
Do you have a fenced yard?:
Yard Description:
Tell us about your children, including ages:
(if they reside in household dog will be kept)
Do you have other pets?: *
Tell us about your other pets (species, breed, age). Enter none if no other pets: *
If you have other dogs, please tell us the breed, gender, age, spayed/neutered for each.
What are you currently feeding your other dog(s) or plan to feed your dog?: *
Note: We are a holistic rescue and all dogs in our care are fed a naturally sourced raw diet. Note: Not providing an answer will result in an automatic denial
What do you use for flea and tick prevention?: *
Have you owned a Cavalier previously?: *
What will be your Foster exercise plan?: *
How and where will your Foster exercise and relieve itself?
Where will your Cavalier be allowed during the day?: *
Please check the location in your house that your Cavalier will have access to during the day.
How many hours a day on average will your Cavalier spend without a human?: *
I understand that rescued Cavaliers may...*
Please check the boxes that you agree are common traits of a rescued Cavalier.
Where will your Cavalier be allowed to sleep?: *
Please check the location where your Cavalier will sleep
How many hours a day maximum will your Cavalier spend without a human?: *
Accepting of Fosters with special needs?: *
Are you willing to accept a Cavalier that has been diagnosed as having a medical need that will require daily medications and frequent visits to veterinarians or specialists?
Fosters in need of training?: *
Are you willing to accept a Cavalier that has behavior problems and might require special training?
Veterinary Reference: *
Please provide name, address, city, state, zip, office phone and email for your veterinarian reference.
Personal Reference #1: *
Please provide name, address, city, state, zip, phone and email for your personal reference.
Readiness to foster a Cavalier self rating:
Willing to accept neglected or abused Fosters?:
Personal Reference #2: *
Please provide name, address, city, state, zip, phone and email for your personal reference.
Note from Applicant:
Foster Signature: *
I certify that information contained herein is true. I recognize that completion of this application does not guarantee placement of a Cavalier in my home.
(Type full name in box)
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How did you find Cavalier Rescue Midwest?:
Foster Date: *
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