Volunteer/Foster Application

About You

Name:

Age:

Address:

Home Phone:

Work Phone:

Cell Phone:

Email:

Number in household:

Children?:

yes

Ages:

Your occupation:

Hours worked per week:

History Of Pet Ownership

Do you personally own a Shih Tzu, Lhasa Apso or other small, furry, mixed breed dog?:

yes

If yes, describe:

What dogs currently live in your household?

Dog 1

Name:

Breed:

Sex:

Age:

Altered:

yes

How long owned:

Kept inside or outside?:

inside

outside

Dog 2

Name:

Breed:

Sex:

Age:

Altered:

yes

How long owned:

Kept inside or outside?:

inside

outside

Dog 3

Name:

Breed:

Sex:

Age:

Altered:

yes

How long owned:

Kept inside or outside?:

inside

outside

Please list dogs you have owned in the past 15 years and explain what happened to the dog:

Dog 1

Name:

Breed:

Sex:

Age:

How long owned:

What happened to the dog?:

Dog 2

Name:

Breed:

Sex:

Age:

How long owned:

What happened to the dog?:

Dog 3

Name:

Breed:

Sex:

Age:

How long owned:

What happened to the dog?:

Do you have any other animals?:

yes

If yes, please list:

Agreement:

I agree that any dog placed with me to foster will reside in my home as a pet and will be given adequate food, water, shelter, affection and medical care. All the information on this form is true and complete to the best of my knowledge. I understand that any misrepresentation of fact may result in the removal of the foster dog from my home. I am aware that I must notify a DFW Tzus and More representative within 24 hours if the situation should arise in which I can no longer keep the dog, or if it appears that the animal is lost or stolen. Please date and type name in the area below. This serves as your signature.

Dallas-Fort Worth Shih Tzu Rescue & Lhasa Apso Rescue “Dedicated to helping homeless pets find their way home.”