Thank you for your interest in fostering ex-racing greyhounds! Please fill out the following information for our Foster Home Database:

Name:

E-Mail Address:

Home phone:    Work phone:

Best time to call you at home:    At work:

Place of Business:

Position:

Family Information: Total number of children in home:

List names and ages of children living in the home. **Please note that if you have children under the age of eight, you will be encouraged to read the book entitled Childproofing Your Dog by Brian Kilcommons & Sarah Wilson.

List names, ages, and relationship to one another of all other persons living in the home:

How did you hear about providing a greyhound with a foster home?

Have you ever seen or met a greyhound? Yes No

Why do you want to foster an ex-racing greyhound?

Please describe a "typical" week day for your family; include the specific times when no one is home as well as activities in which you plan to include your foster dog

Do you have a swimming pool at your home? Yes No

Any information you'd like us to know that we haven't asked? (past experience with greyhounds, professional or social relationships with veterinarians or possible benefactors, etc.) Where will your greyhound be during the day or when you are not at home?

Please read carefully:

* I understand that all foster greyhounds in this program are the sole property of Greyhound Pets of America/Coastal Oregon Greyhounds and shall be returned to GPA/COG upon request or if the foster parent is not able to adequately care for the greyhound.

* I understand that GPA/COG will provide routine and emergency veterinary care through select veterinarians. Foster greyhounds are not to be treated by unauthorized veterinarians, except in the case of extreme emergencies. Expenses resulting from unauthorized routine care will be the responsibility of the foster parent.

** GREYHOUNDS MAY HAVE DEADLY REACTIONS TO MEDICATIONS AND/OR PROCEDURES WHICH DO NOT ADVERSELY AFFECT OTHER DOGS.**

* I agree to provide the foster greyhound with high-quality food; fresh water at all times; soft, comfy beds and pillows; lots of guidance, supervision, and training; and mostly unlimited love and affection!

* I understand that my role is an important one in the placement and adoption process and agree to talk to and meet with prospective families.

* I agree to assume all responsibility for the actions of my foster greyhound while the greyhound is placed with me.

* I understand my foster greyhound should never be left unsupervised with strangers, small children or other animals with whom the greyhound is unfamiliar.

* I agree that I will not take my foster greyhound to any dog parks.

You will be required to sign this copy of the application at the time of your home visit.

Signature___________________________________ Date____________________

Signature___________________________________ Date____________________