MINPINERIE FOSTER APPLICATION Wrong form? Are you looking for the... ADOPT FORM | VOLUNTEER FORM Please note: we do not accept volunteers who have unaltered pets. If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required FOSTER APPLICATION To avoid a delay in processing your application to foster a rescued Minpinerie dog, please answer all the questions. CONTACT INFORMATION Name * Street Address City Province Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Post Code Primary Number Other Number Email * GENERAL Why are you interested in fostering a Minpinerie dog Are you familiar with the Miniature Pinscher or other small dog breeds NOYES Would you foster in an emergency situation NOYES If YES, why? Will you be able to drive a dog to veterinarian appointments, health check, to be spayed or neutered or for other treatments NOYES Would you be comfortable in having potential adopters entering your home to view dog NOYES Would you be willing to assist with preliminary home visits of potential adoptive families NOYES Would you be willing to provide telephone support to an new adopter on training and behavioural issues for dog you place NOYES All paperwork for placement homes must be forwarded to the Minpinerie Coordinator within five business days of completion. Are you able to ensure that this requirement is met NOYES How did you hear about the Minpinerie FOSTER HISTORY Have you ever fostered a dog NOYES If Yes, which breed(s) did you foster With which Rescue Association did you foster Are you still fostering a dog(s) NoYes FAMILY How many adults presently live in the home Female(s) Male(s) Are children presently living in the home NOYES If yes, how old FAMILY PETS IMPORTANT: If you have or had a dog or cat, please call veterinarian(s) to give them your consent to release information to a Minpinerie volunteer. Minpinerie cannot proceed with an application until you or the person whose name is on Veterinarian Record have called the veterinarian hospital or clinic. Do you own a dog(s) NOYES If yes, how many Dog(s)' Name, Sex, Breed, Age, Spayed/Neutered (1. Josey, F, Bull Dog, 5, Spayed 2. Fozy, M, Pug, 2, Neutered) If your dogs are NOT spayed/neutered, why? Do you own a cat(s) NOYES If YES, how many Do you own other pet(s) NOYES If YES, what type Current Vet. hospital/clinic Phone Number Previous Vet. hospital/clinic Phone Number Name of person whose name is on Vet Records Did you have a pet(s) in the past NOYES If YES, what type Why do you no longer have pet(s) Past Pet(s) Vet. hospital/clinic Phone Number Name of person whose name is on Vet. Records PERSONAL REFERENCES Name Relation Phone Name Relation Phone RESIDENCE Dwelling Type SingleApt BuildingTown/ GardenRuralOther Do you own your home NoYes If OTHER, please specify If NO, do you have landlord’s permission to keep a dog NoYes Landlord or Property Management Name Phone Does your house have a safe, fully-fenced yard NOYES If NO, where and how will you exercise dog? If YES, what kind of fenced-in area Private yardDesignated space Other If OTHER, please specify Type of fence Chain linkWoodElectric GroundOther If OTHER, please specify Height DAY-TO-DAY ROUTINE Are you willing to enroll the dog in obedience classes NOYES Do you have a crate for the dog NOYES How many hours will dog be alone while you are away during day Where will you keep dog while you are away Where will you keep dog while you are on vacation DOG’S DETAILS THERE IS NO GUARANTEE that Minpinerie can find you the dog of your preference, though we will try. Preference FemaleMaleNo Pref Age(s) Colour Other Considerations Please tell us more about the dog you are looking for. ex. A dog that gets along with children, cats or other animals? A dog that isnt easily excitable as I have frequent visitors or my dog doesnt like excitable dogs. Any other information/requirements you may have that we should know. TRANSPORT Would you be willing to drive to meet/pick-up a dog NOYES If YES, what is the maximum distance you would drive IMPORTANT: Each of the following Minpinerie Foster requirements must be adhered to at all time, without exception: All Minpinerie dog placements must be through the Minpinerie application/adoption process. All Minpinerie fostered dogs belong to Minpinerie and must be returned to the Minpinerie if requested to do so. Fostered Minpinerie dogs must reside at the foster family's address and may not be given to anyone else or placed in any other home or facility. If the foster family can no longer care for the fostered Minpinerie dog, the foster must immediately contact the Minpinerie Foster and Adoption Coordinator. The fostered Minpinerie dog may not be sold, abandoned, relinquished, transferred or given to a shelter or another rescue group, person, persons, group, organization or institution. YES, I understand each of the above Foster requirements established by Minpinerie. * Questions or Comments