First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Work Phone x
Cell Phone
Alt Email
List at least one reference (who is not a family member) along with their phone number.*
Have you ever owned a Shetland Sheepdog before? If so, how long?
If you have owned shelties before, how long?
What happened to your previous dog?
Do you own any other animals? What kind (type, age and sex)?
If you are interested in fostering, have you previously fostered animals?
Are there other people in the home? Please list names and ages.
How much time will the animal spend alone during the day*
Where will the animal be kept when you are home*
Where will the animal be kept when you are not home*
Veterinarian's Name and Phone Number*
Would you be able to evaluate and study the Sheltie and make a recommendation about a suitable home?
Would you be willing to interview potential owners?
Would you be willing to administer medication and transport the Sheltie to a veterinarian if neccessary?
Would you be able to provide any of the following types of training?
Will the animal be kept inside or outside* Choose one: Inside Only Outside Only Inside and Outside
Is your yard fenced* Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced
What type of fence Choose one: Privacy Chain Link Invisible
What is the height of the fence*
If you rent, have you received the approval of your landlord to have an animal Choose one: Yes No
If you rent, please enter your landlord's name and phone number
How long would you be willing to keep the Sheltie in your home?
Are you willing to have a member of Sheltie Rescue of Central Indiana (SRCI) come to your home to perform an inspection (confirm household, fence, stairs, etc.)?*
Once approved, are you willing to have a visit to verify conditions have not changed in the future?
FOSTER HOME RELEASE FORM Foster home represents they are familiar with the applicable city, county and state laws, ordinances and regulations governing the number, type, and licensing requirements of animals allowed at their place of residence and will provide a copy of said requirements with this agreement. Foster home agrees to at all times operate within said laws, ordinances and regulations. Should Foster home's failure to operate within those guidelines result in citations or the seizure of animals by governmental authorities, including SRCI foster animal, foster home agrees to immediately inform SRCI of the action, and assume the cost of fines or legal fees associated with reclaiming the animal or animals. I understand that the Shelties that I have agreed to foster home for Sheltie Rescue of Central Indiana have an unknown background; and, therefore, the temperaments cannot be predicted. I also understand that SRCI has made no promises or representations concerning the temperament of these Shelties or their fitness as a pet or for any other purpose. Further, I understand that SRCI or any individual member will not be responsible for any problems or injuries caused by these Shelties. Enter name, date in field.*
