Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is your property owned or rented? *

Owned

Rented

Other

If your property is rented, is permission required to own dogs? *

Yes

No

N/A

Property type: *

House

Flat

Bungalow

Apartment/Maisonette

Other

Do you have a garden, or access to a garden? *

Yes

No

Access to

If so, is your garden secure? *

Yes

No

N/A

Do any children frequently visit your home? (Select all that apply) *

Yes

No

Live in the home

Will you feed a dog the diet that FBS advises (e.g. raw, specialist food) for allergies or medical issues? *

Yes

No

Do you currently own a dog, or have a regular visiting dog? (Select all that apply) *

Own a dog/s

Visiting dog/s Or Regularly care for another dog/s

No dogs in the home

Do you have any other pets? *

Yes

No

I give consent for FBS to: (Select all that apply) *

Gather, process and store my personal data

I agree for FBS to share my details with home checkers

Use my personal data in decision making, relating to the foster or adoption of a dog

I understand that I may withdraw my consent at any point

I can confirm that the information I have supplied is accurate to the best of my knowledge *

Yes

No

Date *

** Month / Day / Year ** For example 06/22/2020

MM

DD

YYYY

This is an agreement to set out the responsibility of FBS volunteers to keep certain information confidential. DEFINITIONS: In this document, the following terms have the following meanings: 1) Confidential Information: all information relating to the activities of FBS which is made available by FBS to the Volunteer which is of a confidential nature, and includes: Names, addresses and contact details of (a) persons surrendering dogs, (b) FBS admin team members, (c) other FBS volunteers and (d) adopters; Details of any FBS dog; Financial information; and The activities of FBS for the well-being of dogs. It does not include information that is or becomes generally available to the public other than where the information is intentionally or inadvertently disclosed by the Volunteer. 2) FBS: French Bulldog Saviours; 3) Volunteer: the person offering assistance to FBS in its activities. AGREEMENT: I, understand that during my time as a Volunteer, Confidential Information will be disclosed to me. I also understand that it is important to the work of FBS that such information be kept confidential. I agree to keep Confidential Information secret and confidential, by not discussing Confidential Information with persons outside of FBS’ administration group and not to write down Confidential Information where it may be seen by persons outside FBS’ administration group. I agree not to exploit Confidential Information in any way except to assist FBS. I agree that I will not disclose or use Confidential Information unless agreed with FBS in advance. * *

I have read and understood the terms of the confidentiality agreement

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Role(s) to be undertaken: (Select all that apply) *

Homechecker

Road Train Volunteer

Fosterer

Adopter

Events Assistant

Qualified Behaviourist (documentation will be requested)

Date *

** Month / Day / Year ** For example 06/22/2020

MM

DD

YYYY