First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone
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Cell Phone*

Are you over 18 years of age?*

How did you hear about Mo-Kan Border Collie Rescue?*

Please list other pets in the household. Include their name(s), age(s), breed(s), species, and if spayed/neutered.*

Are you involved in any particular activities with our animals?*

Have you been involved in other rescue efforts? If so, please describe.*

Are you interested in Fostering?*

Why do you want to foster border collies?

What kind of dog related experience do you have?

Please list your veterinarian's name, address and phone number (we will contact them for references.) If you don’t have a current dog, please state who you previously used and what you did for your previous dog.*

Are your other animals' vaccinations up-to-date, including Bordatella?

What type of flea/tick prevention do you use?

Do you use Heartworm preventative, if so, what kind and how often?

Do you have a preference of age or sex of the dogs you might foster?

Are you ok with the following: (check all that apply)

The length of time a dog remains in foster care an vary--from a few weeks to several months. Is this ok?

Would you be willing to cover the expense of feeding the foster dog?

For our foster dogs, we try to use Vets that offer MKBCR a discount. Would you be willing to use one of these vets for the foster if they are convenient for you? You can to use your vet , but approval must first be obtained from our Board of Directors. If you would like to us to discuss the possibility of receiving a comparable discount for MKBCR dogs with your vet, let us know.

Please list the names AND AGES of ALL family members living in your household. Including yourself. **Age is required.*

Is your home suburban, urban or rural?*

Do you RENT or OWN your home? Please indicate the type of residence (e.g., rent apartment townhouse; own home, condo, trailer, etc.) If renting, do you have the landlord’s permission to get a dog? *

Do you have a fenced yard? If so indicate the type of fencing (height, wood, chain link, etc.) and size of fenced area. If not, please indicate how you will exercise the dog in a safe and controlled manner. *

Do you intend to keep this dog primarily INDOORS or OUTDOORS?

Please indicate daily work or school hours of all individuals and indicate if anyone is at home during the day. How long will the dog be alone on a typical day?

Do you own any crates that can be used for the foster dog? If no, we can provide one for you to use.

Are you willing to allow a rescuer to complete a home visit by appointment?*

As a foster home, I agree to comply with the requirements contained in the foster regulations for the state I live in. This includes, but not limited to, housekeeping, sanitation and husbandry standards.*

Are you interested in doing home visits? If yes, please answer the following questions:*

Volunteers usually do home visits in the general area in which they live. How far are you willing to ravel from your home to conduct a home visit?

Are you interested in Transport? If yes, please answer the following questions:*

Are there particular cities that you typically drive to on a routine basis?

Can you provide a dog with an overnight stay if necessary?

Do you have any crates that can be used for your leg of the transport? If not, one can be provided for you to use.

Would you like to participate when we have a table or booth set up at an area event?*

Can you be a shelter contact?*

Do you have items you would like to donate? For example, crates, food, blankets, fund raising items, babygates, etc. If yes, please describe items:

Can you provide an overnight stay for a dog that is in transport?*

Can you dog sit for a fellow foster home?*

Do you have any additional comments?*

For purposes of promoting the rescue, I agree to allow photos and/or first names of me and/or my family members to be posted on Mo-Kan's website and/or Mo-Kan's social media.*

I attest to the truthfulness of my answers. I understand that falsification of any of the above information is grounds to disallow me from being a part of Mo-Kan Border Collie Rescue.*