Foster Application

"*" indicates required fields

Foster Application

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Age*

What is your occupation?*

Please list other people in your household or regular visitors: names, age and relationship.*

Is everyone in the household agreeable to fostering?*

Yes

Does anyone in our household have allergies or Asthma?*

Yes

Have you fostered before?*

Yes

If yes, which rescue group?

Who is the primary caretaker of the dog?*

Which size are you willing to foster?*

What time frame are you willing to foster?*

Up to a month

1-3 months

3-6 months

A year or more

How many hours a day would the dog be alone?*

0-2 hours

2-4 hours

4-6 hours

over 6 hours

Are you willing to:

Your Home

Do you have a pool?*

Yes

Do you live on a canal?*

Yes

Do you have a fence?*

Yes

If yes, what type? Wood or chain link? What height?

Does your home have a doggie door?*

Yes

If you do not have a yard, how do you plan to exercise the dog?

Type of Residence*

House-own

House-rent

Apartment/Condo

Mobile Home

Other

If you rent, please give your landlord's name and phone number:

Current/Previous Pets

Current pets name, breed, age:

Previous pets name, breed, age:

What happened to your previous pets?

Do you keep your pets indoors our outdoors?*

Indoors

Outdoors

Do you keep your pets on heartworm preventative?*

Yes

Are your pets up-to-date on their vaccines?*

Yes

Please provide your veterinarians name and phone number. Current and PAST vet if you have recently moved or have two vets*

Is the pet listed under your name? If not who's name?*

By signing below you accept responsibility*

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