WEST WALES POUNDIES FOSTER FORM

Full Name *

First Name Last Name

E-mail *

example@example.com

Address *

Address line 1

Address Line 2

City / Town

Post Code

Country *

Phone Number *

Area Code Phone Number

Phone Number *

Date Of Birth *

Month Day Year

How long have you lived at this address? *

What type of area do you live in? *

Rural Urban

Do you live within 45 minutes of the kennels? The kennels are in Llandeilo, SA19 7LX *

Are you able to bring the dog(s) to kennels on weekends for meet and greats? *

What type of property do you live in? *

e.g. apartment, detached house

Do you own or rent the property? *

Own Rent

If your property is rented, do you have proof from your landlord that you are allowed to keep dogs? *

Yes No Not applicable

How many adults live at your property? *

How many children live at the property and what are their ages? *

Do the children have contact with the dogs? *

Yes No

What are the ages of any children who visit your home? *

Do you work? *

Yes No Retired

What is your occupation? *

e.g. nurse

What are your typical working hours? *

Do you have a secure garden area? *

What is the Approx. Garden size and fence/wall height? *

Please provided pictures of garden

Do you have any dogs at the moment? *

Yes No

What is the breed & temperament like of your current dog/s?

Are your dogs vaccinations up-to-date? *

Yes No Other

Are your dogs neutered/spayed? *

Yes No Other

If current dogs are not neutered/spayed, please state the reason why?

Do any dogs visit your property regularly? if yes please give details, breed, age etc. *

Do your neighbours have any children? *

Yes No

Do you have cats? *

Yes No

Do your neighbours have cats? If so, please state how many *

Do your neighbours have dogs? If so, please state how many *

Is anyone in your household banned from keeping animals? *

Yes No

What dog breeds have you owned before? *

If you have not had a dog before, please give details of any dog experience you have

Would the dogs have full run of your home? *

How long would the dog be left on their own? *

Where would the dog be kept when you are out? *

Where would the dog sleep? *

Are you able to drive to the kennels, vets etc? *

Do you agree to us contacting your vet for a reference? *

Yes No

Vets Name, Address, Telephone, Name of Pet Registered *

Are you prepared to forster a dog with issues? e.g. Reactive, medical issues, not yet house trained etc *

Is there anything else you would like us to know? *

Today's Date *

Day Month Year

Have you fostered dogs before?

Have you fostered dogs before? *

I consent to sharing my information with West Wales Poundies and agree that I can be contacted via Email and/or Telephone *

Yes No