Expression of Interest to Foster Your DetailsCavalier King Charles Spaniel Rescue (Qld) Inc. will only use your personal details to record, assess and manage your application. Your details will not be sold, shared with or otherwise released to any third party without your prior consent. PLEASE NOTE THAT FOSTER CARERS ARE REQUIRED TO BE FINANCIAL MEMBERS, SO YOU MUST ALSO COMPLETE THE MEMBERSHIP APPLICATION.Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone - Mobile*Phone - OtherEmail* Your living arrangements*I own my own homeI live in a rental propertyI live in someone else's home (eg. my parent's home)If you are in your own home we may request to see a recent Rates Notice. If you are renting, we may request to see written consent from your landlord that you are allowed to keep pets at the property.You and CavaliersWhat is your experience with the Cavalier King Charles Spaniel breed?* What do you know about the potential health issues and grooming requirements of this breed? eg. heart problems, patella problems, eye health, ear health, maintenance of coat, etc* Are you aware that as a result of a physical trait many Cavaliers snore?*Yes, I don't have a problem with thatI wasn't aware, but I don't mindAre you aware that Cavaliers shed fur?*Yes, I don't have a problem with thatI wasn't aware, but I don't mindDo you have any other pets that live at or visit your home?* Dog/s Cat/s Other Pet/s or Animal/s (eg. chooks?) Please outline the breed, age and temperament of any other pets that live at or visit your home* Please let us know what you normally feed your dog/s and what you would intend to feed a Cavalier* Please briefly detail the typical daily exercise and activity routine you would be able to provide for a Cavalier (depending on their physical condition and any existing behavioural issues), eg. walks, swimming, play, beach visits, etc. How long each session? How many times per week?* We need to consider your activity and lifestyle when trying to match a dog to your home, even for temporary foster care. Please be honest. If you are only able to provide a minimum amount of walking or activity or you like to go on two long walks every day or you go the beach on weekends then we need to know. Some dogs need a lot of exercise and activity and others are happy with a gentle stroll, while others have behavioural issues that might impact on where and when you visit particular areas.Do you have any formal dog training experience?*YesNoIf you do have training experience, please briefly describe: If we need to place a dog into foster care that has health issues, are you willing and able to attend to any of the following:* Administer eye drops Give tablets and oral medication (including liquid) Administer ear drops and wipe ears Apply prescribed creams/solutions externally Bathing (for skin issues) Containment/crating (for mobility issues and rehabilitation) Whatever is required I'm not confident dealing with this type of physical care Are there any particular issues you have experience in caring for or are there any issues you do not want to take on?* Who is your current vet / veterinary services provider? Please provide name, address and phone number.* We may contact your vet to ask for a reference in respect of your current pet/s.Living ArrangementsAt your home, do you have any of the following:* Polished timber floors Tiled floors Split level or up to 3 steps Stairs (with more than 3 steps) Timber Decking Grassed / lawn area Garden beds We require that your yard and garden is SECURELY fenced. Please detail what type of gates and fencing you have:*Please tick all that apply. If you would like to provide further detail please do so below. 4ft fencing 6ft fencing Colorbond Timber Brick Wire / mesh Lockable gates Gates with latch Other details about yard, gates and fencing Do you live in an area which has:* Ticks Cane Toads Snakes Other Wildlife Where will your dog spend time during the day?*Please provide details of indoor and outdoor facilities and access Where will your dog sleep at night?* Please advise your typical work hours and advise at what times there will be a responsible personal at home to look after a foster dog?* Are you able to commit to providing temporary foster care for an indefinite period?*Yes, I am happy to look after a dog for as long as requiredI would prefer to provide short term foster care onlyPlease outline who else lives at your address, including other adults and children. If you have children, please list their ages and note down any important issues that may need to be considered such as disability or behavioural considerations.* Your PreferencesWhat age group/s would you be happiest looking after?* Any age Pup | 12-18 months Young Dog | 2-5 years Mature | 5-8 years Golden Oldie | 8+ years What sort of qualities and temperament best fit within your home?* Not very active Moderatively active Very active Good with kids Affectionate Lives outdoors Gets on with cats Can live with a bigger dog Likes the beach Do you have any other notes on what you can provide as a foster carer?* If there are any issues that particularly concern you such as dogs with anxiety, house training/toileting, barking, walking on lead, etc, please note it down so we can discuss it with you.Please tell us what has motivated you to enquire about fostering a Cavalier?* Become a MemberAll members must acknowledge and accept the following Goals of the Association. Any member who is deemed to be acting in opposition to the goals or whose actions are deemed to have a potentially negative impact on the Association may have their membership suspended or cancelled at any time at the discretion of the Committee. THE GOALS OF THE ASSOCIATION ARE: * To rescue and re-home Cavalier King Charles Spaniels in Queensland. * To develop alliances with other rescue/re-homing groups for the benefit of Cavaliers. * To raise awareness of the Association’s activities. * To lobby for legislation relevant to the Association’s activities. * To reduce the numbers of Cavaliers requiring rescue through education of prospective owners and the general public.Please acknowledge your acceptance of the Goals of the Association:* Yes, I acknowledge and accept that I have read and understand and will uphold the Goals of the Association at all times Yes, I acknowledge that my failure to uphold the Goals of the Association may result in termination of my membership at the disrection of the current Management Committee For Our InformationHow did you find out about Cavalier King Charles Spaniel Rescue (Qld) Inc.?* Facebook Google search A friend Pet Expo Another rescue/animal group Spoke to one of your Volunteers I would like to join the email list to receive notification of upcoming events and information from time to time*Yes, I would like thatNo, I do not want to go on the mailing listAPPLICANT'S DECLARATIONI have answered all questions honestly* I declare the information I have provided on this form is to the best of my knowledge true and correct. I will keep information private and confidential* I hereby acknowledge the obligation and agree to keep matters of a confidential nature, particularly regarding personal details and the circumstances surrounding surrender and rehoming, confidential and to respect privacy as required by the Privacy Act 1988 (Cth). I understand my application is subject to review and approval* I acknowledge that Cavalier King Charles Spaniel Rescue (Qld) Inc. will use the information on this form to make an initial assessment as to my suitability for re-homing a Cavalier. I understand Cavalier King Charles Spaniel Rescue (Qld) Inc. may conduct further enquiries with me by phone and may also contact my current veterinarian (if any) for a reference. I will agree to a property check, at a mutually agreed time, if requested I acknowledge that Cavalier King Charles Spaniel Rescue (QLD) Inc., reserves the right to decline any application at their discretion. Thank you for your interest in becoming a volunteer foster carer with Cavalier King Charles Spaniel Rescue (Qld) Inc. We genuinely appreciate you taking the time to provide us with as much information as possible. If there is anything further you would like to add to your application, please let us know. PhoneThis field is for validation purposes and should be left unchanged.