Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Please explain the specific reason you are currently in need of foster care for your dog.
*
Did someone refer you to our program? If so, please provide their information.
Dog's Name
*
Dog's Age
*
Dog's Weight
*
Dog's Gender
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Male
Female
Where did you originally get your dog?
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How long have you had the dog?
*
Is the dog spayed or neutered?
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Yes
No
Is the dog up to date on Rabies and Distemper Vaccinations?
*
Yes
No
Does the dog have any health concerns?
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Please provide a detailed history below. If there are no concerns, please write "none".
Please list any and all medications for the dog.
*
Does your dog take preventatives currently? If not, are you comfortable with us providing them while they are in our care?
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I understand that I will need to call my vet's office to have the records released to Lucky 7 Dog Rescue.
*
Yes
If possible, I will provide food for my dog while it is in the care of Lucky 7.
Yes
No
Check all that apply to the dog:
*
People Friendly
Dog Friendly
Cat Friendly
Quiet
Nervous
Calm
Agressive
Shy
Active
Smart
Obedient
Noisy
Playful
Affectionate
Does the dog dig in the yard?
Yes
No
How does the dog react to riding in the car?
*
Select all the apply.
Enjoys
Resists
Barks
Urinates
Fine in a crate
Afraid
Sleeps
Vomits
Defecates
Hyper
Cries
Other
Does the dog damage/destroy any of the following items?
*
Select all that apply.
Toys
Clothing/Shoes
Windows/Doors
Furniture
None of the above
How does the dog react to petting?
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Select all that apply
Enjoys it
Asks for more
Allows it
Walks away
Bites
Snaps
Growls
Other - please explain in next space
Is there anything else that we should know about the dog's pet preferences?
*
Check any areas the dog does not like being touched/is sensitive.
*
Check all that apply.
Ears
Tail
Collar/Neck
Mouth
Rear
Paws/Nails
Head
Being Picked Up
None of the above
How does the dog react to the food bowl being touched while eating?
*
Select all that apply.
Allows
Shows Teeth
Growls
Snaps
Lunges
Bites
Unknown
How does the dog react to a toy being taken away?
*
Allows
Engages in play
Growls
Snaps
Bites
Shows Teeth
Unknown
Which commands does the dog know?
*
Select all that apply.
Name
Sit
Come
Stay
Down
Leave It
None of the above
Include any other command/obedience training you would like to share below.
Is the dog used to being in a crate?
*
This includes when you're away from home or overnight.
Yes
No
Is your dog potty trained?
*
Yes
Work in Progress
No
How would you describe the dog's activity level?
*
Low-Couch Potato
Medium-A walk/play time will do wonders
High-Needs regular exercise
How would you describe the dog's vocal level?
*
Low-Rarely barks
Medium-Occasionally barks at specific things
High-Barks at everything
Is the dog leash reactive?
*
Yes
No
Unknown
On a scale of 1-5, how well does the dog get along with infants?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with toddlers?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with children?
*
4-12 years old
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with teens?
*
13-18
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with men?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with women?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with strangers?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with puppies?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with small dogs?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with big dogs?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with cats?
*
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
On a scale of 1-5, how well does the dog get along with small animals?
*
Birds, reptiles, etc
0 = Unsure
1 = Not at all
2
3=Is fine, will mostly ignore them
4
5=Great, loves them!
If you selected 0-3 for any of the above, please describe how your dog reacts here.
Describe any other quirks/preferences for the dog's relationships.
*
What does your dog enjoy?
*
Select all that apply
Snuggles
Walks
Treats
Runs
Swims/Water
Fetch
Rides
Play
Has the dog ever been declared dangerous or potentially dangerous?
*
Yes
No
If yes, please include additional information here.
City
County
Date
Details
Has your dog ever bitten a person?
*
Please be as truthful and as objective as possible. We do take dogs with bite histories. It is important that we know as much as possible in order to place a dog in the foster home best suited to meet his/her needs.
Yes
No
Unsure
Check all that apply regarding your dog's bite history.
*
Again, please be as truthful and objective as possible.
Adult (human)
Child (human)
Cat
Dog
Other
This dog does not have a bite history
If the dog has been involved in a biting incident, please provide any relevant details here.
Details can include age of children involved, age and size of dog involved, etc. Please provide as much detail as possible. It is extremely important you be as truthful and objective as possible.
By checking this box, you are agreeing that if we are to take your dog into our care and they are not reclaimed within 90 days, the dog will become our legal property and enter our adoption program.
*
I understand and agree
By checking this box, you are agreeing that neither Lucky 7 Dog Rescue, their foster homes, board of directors, or volunteers are to be held liable in the event something happens to your dog while in our care.
*
I understand and agree
By checking this box, you understand that we are not required to provide vetting to your dog while they are in our care. If the dog needs emergency medical attention, you, as the owner, will be liable.
*
I understand and agree
By checking this box, you understand that we will look for a foster home for your dog and if one is found we will contact you. Understand that we cannot guarantee that Lucky 7 will be able to find a foster home. We are an entirely volunteer and foster based rescue with limited resources.
*
I understand and agree
Please remember to check your spam folder when looking for an email correspondence from Lucky 7
*
I understand
Please be aware that if there are unforeseen circumstances that we can no longer keep your dog within the 90 day time frame, you will need to pick them up or make other arrangements for the dog.
*
I understand and agree
You will send recent photos to canineclassifieds@lucky7dogrescue.com.
*
I will send photos
Please type your name below to state that you are willingly giving temporary ownership of your dog to Lucky 7 Dog Rescue.
*
First Name
Last Name