WEST WALES POUNDIES FOSTER FORM

Full Name*

First NameLast Name

E-mail*

example@example.com

Address*

Address line 1

Address Line 2

City / Town

Post Code

Country*

Phone Number*

Area CodePhone Number

Phone Number*

Date Of Birth *

MonthDayYear

How long have you lived at this address?*

What type of area do you live in?*

RuralUrban

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?*

OwnRent

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

YesNoNot 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?*

YesNo

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

Do you work?*

YesNoRetired

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

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Do you have any dogs at the moment?*

YesNo

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

Are your dogs vaccinations up-to-date?*

YesNoOther

Are your dogs neutered/spayed?*

YesNoOther

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?*

YesNo

Do you have cats?*

YesNo

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?*

YesNo

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?*

YesNo

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 *

DayMonthYear

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*

YesNo