Foster Home InformationPlease fill out this form form to help us match dogs to the right foster homes. Thank you for being part of the RMDR foster team!Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Foster Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code Residents Number of Adults (18+) in Home? *Please enter numbers only (no spaces, letters, or special characters).Number of Children (under age 18) in Home? *Please enter numbers only (no spaces, letters, or special characters).Please list the ages of your children in the home (e.g. 10, 12). *Do you have pets in the home? *YesNo Pet Details Name *Breed *Age *Spay/Neuter Status *Female (Not Spayed)Female (Spayed)Male (Not Neutered)Male (Neutered)Pet Vaccination Status *Up to Date: DHPP, RabiesPartially Up to DateNot Up to DateEnergy Level *LowMediumHigh Add Remove Home Details Type of Home *Single Family HomeApartmentDuplex/Condo/Townhome (shared walls)OtherDo you have a fenced in yard? *YesNoSchedule (Work/Life Balance) *Work from Home (WFH)Work in Office (WIO)Hybrid Work Schedule (WFH/WIO)Currently Not EmployedRetiredOther Dog Supplies Do you have any of the following? Baby GatesDog CrateDog Play PenDog Ramps/StepsDo you need any of the following? Baby GatesDog Ramps/StepsPotty PadsDog CrateDog Play PenDog BedCollarHarnessLeash the Home a Foster Dog PreferencesBonded PairsDachshunds OnlyDachshund Mixes (e.g. Chiweenie)Senior DachshundsPuppiesDisability or IllnessBehavioral IssuesHospice CarePlease select the options that apply to your situation, experience and comfort level. Behaviors/Situations I am NOT able to accomodateBonded PairsBite HistoryPotty Training IssuesPuppiesDisability or IllnessBehavioral IssuesConstant BarkingDate Available to Start Fostering: *Submit
