Foster Home Application

The Soft Coated Wheaten Terrier Club of Greater Tampa Bay (SCWTCGTB), an American Kennel Club approved breed club, supports breed rescue through its Wheaten Rescue program. The SCWTCGTB has the authority to designate volunteers to serve as their representative in rescue situations and to foster home the rescued Wheaten until permanent placement can be made. This is an application to become one of those volunteers.

Foster Home Application

Last Name*

First Name*

Address*

City*

State*

ZIP Code*

Cell Phone*

Home Phone

Work Phone

Email*

Fax Number

BACKGROUND QUESTIONNAIRE: 1. Why do you want to foster a Soft Coated Wheaten Terrier?* 2. What breeds of dogs have you previously owned?* 3. What breeds of dogs do you currently own?* 4. What other pets do you own?* 5. Do you have children? Give ages:* 6. Is someone home during the day? If not, what is the longest time away from home?* 7. Do you own or lease your home?* 8. Do you have homeowner liability insurance?* Carrier/Policy# 9. Do you have a fenced yard?* 10. Where would you keep the rescued Wheaten?* 11. Are you aware of Wheaten grooming needs? How would you provide this?* 12. Do you agree to relinquish the Wheaten when a permanent home is found?* 13. Can you prevent the foster Wheaten from mating while in your care?* 14. If an accidental mating takes place, will you immediately take the Wheaten to get a “mismate” shot?* 15. Can you foster more than one Wheaten if necessary?* As foster volunteer(s), you are responsible for the dog’s basic needs such as food and shelter, daily exercise in a fenced yard, and basic cleanliness. All expenditures require prior approval.

I/we agree to complete the behavior survey of the foster dog in an honest, complete and timely manner. I/we understand the requirements of being a volunteer and agree to provide a foster home for the assigned Soft Coated Wheaten Terrier(s) until such time as I am asked to relinquish the rescued Wheaten.

I/we accept full responsibility for the Wheaten in my care, releasing the previous owner, as well as SCWTCGTB and its representatives, of any liability concerning this/these dog(s). If I/we cannot meet the expectations for an appropriate foster environment, I/we will immediately relinquish the Wheaten(s).

Signature (type your name)*

Date*