Foster Home Application

Please fill out the form an click send on the bottom of the page to submit.

Last Name First Name

Address

City State Zip

eMail Home Phone Work Phone

Why do you want to foster a Soft Coated Wheaten Terrier?

Have you previously owned a Wheaten?

What other breed(s) of dog have you owned?

Do you have other dogs or cats? Y/N

If yes, specify breed, sex, and age of all dogs in the home

Are other dogs in home spayed or neutered? Y/N

Do you have children?

If yes to above please state their ages

Is someone home during the day?

What is the longest time the dog would be left alone?

Do you have a fenced yard?

Do you own your home or lease?

Do you intend to keep your Wheaten outdoors or indoors?

Are you aware of the grooming needs of a Wheaten?

Do you agree to relinquish the dog once a permanent home is found?

Will you prevent any foster dogs from mating while in your care?

If an accidental mating takes place, I will immediately follow up on a “mismate shot” (Initials)

How many Wheatens can you foster at one time?

As foster parents, you are responsible for the dog’s basic needs such as food and shelter. A fenced yard large enough to allow for plenty of room to run and play safely is a must. Basic health requirements such as shots, medication and spay/neutering are paid for by WIN Rescue.

Will you make the appointments and provide transportation to approved clinics?

I AGREE TO PROVIDE A FOSTER HOME FOR ASSIGNED SOFT COATED WHEATEN TERRIER DOGS, KEEPING THOSE DOGS EXCLUSIVELY AS TEMPORARY PETS, AND NOT FOR BREEDING. I ACCEPT FULL RESPONSIBILITY FOR THEIR CARE, RELEASING THE PREVIOUS OWNER, AS WELL AS WHEATENS IN NEED RESCUE, AND ITS REPRESENTATIVES, OF ANY LIABILITY CONCERNING THESE DOGS. I AGREE TO IMMEDIATELY RELINQUISH ANY WHEATEN TERRIER UPON REQUEST.

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