Dog Foster Application

Foster

1Applicant

2Family

3Home

4Care

5Preferences

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Default Status
First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Country
Street Address
Suite | Apt or Unit Number
City
State/Province
ZIP
Mexican Address*
Street Address Neighborhood City State Postal Code
Canadian Address*
Street Address Neighborhood City Province Postal Code
Cell Phone Number*
Preferred Method of Contact
Employment & Schooling
Are You Employed?*
- Yes
- No
- Retired
How Did You Hear About Us?*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Are There Children In The Home?*
- Yes
- No
Do You Now or Have You Ever Had a Dog?*
- Yes
- No

- Type of Residence*
Yard Information
Do You Have A Yard?*
- Yes
- No
Is The Yard Fenced?*
- Yes
- No

Feeding & Exercise
- Do You Plan on Walking The Dog Daily?*
  - Yes
  - No
Behavior & Training
Dogs Can Take A Month Or Longer To Adjust To A New Home, Particularly If Other Pets Are Involved. Are You WIlling To Devote This Much Time To Make The Dog Comfortable In Your Home?
- Yes
- No
Needs Social Skills*
Accidents In The House*
Inappropriate Chewing*
Excessive Barking*
Digging*
Separation Anxiety*
- Other
  - Yes
  - No
- Please Explain Other Behaviors You Cannot Tolerate*
- What Are Your Plans For Training The Dog?*
- Please Describe Your Training Plans*
Foster Care
Please describe any experience or special training you have that may help you evaluate personality and temperament:*
Please describe any experience or special training you have had that may help you to understand and deal with potential problems a rescue dog may have:*
Are you willing to foster a dog with medical needs which may require trips to a veterinarian?*
- Yes
- No
Are you willing to foster a dog who may need training for behavior problems?*
- Yes
- No
Do you understand that the foster dog is the property of the Rescue and can be removed from the foster family by the Rescue or their representatives at any time and without prior notice?*
- Yes
- No
Do you understand that the foster dog must be treated as a housedog and a member of the family and in no case kept in any other manner?*
- Yes
- No
Do you understand that any foster dog entrusted to your care must be provided adequate food, water, affection, socialization, training, exercise and medical care?*
- Yes
- No
Do you understand that a foster family must provide a securely fenced yard or other safe means for exercising the dog and that under no circumstances is the dog to live or be kept out-of-doors?*
- Yes
- No
Do you understand that under no circumstances shall the foster dog be sold, abandoned, relinquished to a pound, shelter or other rescue group, transferred or given to any other individual or to any establishment for the purpose of resale, nor to any research institution?*
- Yes
- No
Do you understand that the Rescue and its representatives have limited information about the temperament and habits of the rescued dog?*
- Yes
- No
Do you agree to provide the Rescue with an assessment of the dog’s interaction with the potential adoptive family and give an impression of the likely success of such adoption?*
- Yes
- No
Are you willing and able to evaluate the personality and temperament of a foster dog to determine the best type of adoptive home? i.e. a home with children; adult home only; home with other animals; needs to be an only dog, etc*
- Yes
- No
Are you willing to foster a dog who has been abused and/or neglected who may require special attention and lots of love and reassurance?*
- Yes
- No
Are you willing to provide written progress reports to the Rescue's representative?*
- Yes
- No
Do you understand that no decisions may be made regarding veterinary care (including euthanasia,) or placement without the prior approval of the Rescue?*
- Yes
- No
Do you understand that a foster family is expected to provide basic training to help increase the successful transition into a permanent home?*
- Yes
- No
Do you understand that if the foster family finds it can no longer keep the dog in their care, they shall notify the Rescue immediately?*
- Yes
- No
Do you understand that in the event the foster family wishes to permanently adopt the rescue in their care, an Adoption Application must be filed and, if approved, an Adoption Placement Contract must be signed?*
- Yes
- No
Do you understand that the foster family must ensure that the rescued dog is not allowed to run loose, injure or be injured by another animal or by any person?*
- Yes
- No
Do you agree to cooperate in accommodating those who wish to see the rescued dog?*
- Yes
- No
Is there anything else you would like to tell us about the care you would give a foster dog?

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
A Pregnant Dog*
Fostering Bottle Babies*
Two Dogs*
A Dog That Can Be An Only Pet?*
A Dog That Is Afraid Of Small Children*
- A Dog That Needs Medications?*
- A Dog That Has a Serious Health Condition?*
- Please Select All Health Condition(s) You Would Accept:*
- A Dog Who Needs Training For A Behavior Issue?*
- Please Select All Behavior Issue(s) You Would Accept*
- A Dog That Has Special Needs?
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
A Dog That is Not Completely Housebroken?*
Select Gender*
Select Age Range*
Select All That Apply
Select Temperament*
Select All That Apply
Do You Have A Preferred Dog?
List Other Dogs You Are Interested In
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
All dogs placed through the Cortez Rescue and Outreach will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify the Cortez Rescue and Outreach that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree *
- I agree
Phone
This field is for validation purposes and should be left unchanged.

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Find Us

Cortez Rescue and Outreach, Main Facility - By Appointment Only
KM 91.5 MX HWY 1
Las Cuevas, BCS, Mexico

OR

"Mini"-Cortez - By Appointment Only OR Scheduled Events... You can find our secondary, smaller facility a quick 20 minutes north of our Main Facility in the town of Los Barriles on Don Pepe road.