Foster Dog's Name: 

Basic Dog Information

Select Breed Basset hound w/ akc papers Basset hound without papers Basset mix Mutt Select Sex Male Female

Foster Dog's exact age: 

years

Select Spay/Neuter Status Altered prior to entering rescue Altered by LSBHR Alter scheduled in near future by LSBHR Unknown

Shelter Stray Owner Turn-in Previous LSBHR adoption return Unknown Other Select where dog was rescued from

If Shelter or stray, please provide the name of the shelter and/or location where the dog was picked up:

If you know this dog came from a "special situation" such as an environment of neglect or abuse, please describe here:

If you are the dog's owner, and are giving it up for adoption, then please indicate the reason(s) why here:

Date Rescued:  MonthJanFebMarAprMayJunJulAugSepOctNovDec Day123456789101112 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year20012002200320042005200620072008200920102011201220132014201520162017201820192020

Name of person who rescued the dog: 

If this dog is part of a bonded pair, what is the name of the other foster dog?:

Date Dog Available for adoption:  MonthJanFebMarAprMayJunJulAugSepOctNovDec Day123456789101112 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year20012002200320042005200620072008200920102011201220132014201520162017201820192020

What does the dog look like?

Color Tri-color Tri-color, but mostly white Tri-color, but mostly black Tan & White Red & White Lemon & White Tri-color, turning grey Other

Any special markings?  Extra long ears?  Big paws?  Long legs? Describe in detail here:

Tell us about the Dog's Health:  

Foster Dog's exact weight: 

pounds

No Weight Problem Severely Underweight Underweight Overweight Severely Overweight Weight Problem?

Is this dog currently undergoing heartworm treatment?:

Yes No

If yes, what is the date of its last scheduled treatment?:   

MonthJanFebMarAprMayJunJulAugSepOctNovDec Day123456789101112 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year20012002200320042005200620072008200920102011201220132014201520162017201820192020

Has this dog ever undergone previous heartworm treatment that you're aware of?:

Yes No

Other Health Problems (select all that apply by holding down your Ctrl key and clicking on each choice):

None Parasites (worms) Fleas or ticks Sinus, respiratory, kennel cough, etc... Skin problems Dental problems Arthritis, stiffness Cancer Ear infection Ear mites

If other health issues, please describe here: 

Select Veterinarian You're Using for Foster Dog Jersey Village Animal Hospital Greenway Animal Clinic Animal Hospital * Highway Six Sugar Mill Animal Clinic Animal Clinic at Alden Bridge Dickinson Animal Hospital Fund for Animal Spay and Neuter Clinic Lakeside Animal Clinic Meyerland Animal Clinic Westhollow Animal Hospital Other

If you're using another vet not selected above, please give us name, address and phone number here:

Tell us about the dog's personality:

Describe the foster dog's personality (is he friendly, quiet, slow, loud, funny, etc...?)

Level of Housetraining

Select Level of Housetraining Yes, without doggie door Yes, with doggie door Yes, BOTH with AND without doggie door No, but working on it, and shows progress Not housetrained at all

Has the foster dog been around any children?

Yes No

If so, please list the ages of the children this dog has been interacting with:

Would you recommend that this dog be placed in a home with children under 15 years old?

Yes No

Has the foster dog been around any cats?

(select all that apply by holding down the Ctrl key and clicking on each choice):

Yes, I have observed this dog around one or more cats in my home Yes, I have observed this dog around cats outside my home. No, I have NOT observed this dog around any cats at all This dog's previous home reportedly had cat(s)

Would you recommend the dog to a home with cats?

Yes, this dog is fine around cats inside and outside my home This dog is fine around cats inside my home, but he chases them outside After an adjustment period, this dog will be fine around cats inside the home. This dog should not be around cats at all.

Behavior Problems?

(select all that apply by holding down the Ctrl key and clicking on each choice):

Barks a lot Aggression towards cats*** Aggression towards other dogs*** Aggression towards adult humans*** Aggression towards small children*** Destructive Chewing Howling Housetraining problems

If dog demonstrates any aggression, please CONTACT US IMMEDIATELY!

Please describe behavior problems in more detail here:

Adjustment period: How long did it take for this dog to settle into your home and demonstrate his/her true personality? Also, is there anything a potential adopter should know about the adjustment period that you observed in your home, particularly in regards to children, other dogs, and other animals?

Other Miscellaneous Stuff about your foster dog:

What food have you been feeding your foster dog?

Why or why wouldn't you recommend this dog for an apartment?

YOU! The foster parent:

Select Name of Foster Parent Adams, Maggie Adams, Pam Cornelius, Patricia Davidson, Vicki Dossey, Cecilia Flowers, Nancy Geiman, Jeanette & Rick Glasser, Debbie Jinkins, Eliscia Lessig, Laura St. Clair, Kim Tate, Tim & Angela Walzel, Pat Wendlandt, Steve & Lynne Wise, Melissa Wyckoff, Katie Other (Specify below)

What is your email address?:

Where are you located?

Select Area of Houston Foster Home is Located Northwest Houston North Houston Northeast Houston East Houston Southeast Houston South Houston Southwest Houston West Houston Central Houson Other

If "other", please specify: 

Can you get us a photograph of your foster dog?  

(Dogs placed on our website with photos get placed much faster!)

Yes No

Is there anything else you'd like to tell us about your foster dog?  

Please review your answers before you press the submit button!