EmailMe Form - Foster Application

Name *

First Last

Phone *

### - ### - ####

Email *

Cell

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Drivers License State and Number *

Best time to call: *

Do you or have you ever owned a pet? *

yes

no

If yes, what type(s)?

What type and how many animals do you currently have in your home?

Are animals in your home kept indoors, outdoors or both?

Are animals currently in your home spayed/neutered?

yes

no

Are animals currently in your home up to date on vaccinations?

yes

no

Please provide your local vet contact information (we may call for a reference): *

Please provide 3 additional references and their contact information (neighbors, other rescues, local shelters, etc.) *

Do you own or rent your home? *

Rent

Own

If you rent, please provide Landlord name and Phone:

Do you plan on moving in the next year? *

yes

no

Has everyone in your household agreed to fostering? *

yes

no

Do you have an area in your home to isolate the foster dog from your pets? (please describe) *

How will you exercise your foster dog? (walk, run, hike, backyard play, etc.) *

How many hours a day are you away from the home? *

Do you have children in the home and what are their ages?

Have you fostered dogs before (this applies to any organization) *

Are you willing to allow a Representative to visit the foster dogs in your home? *

yes

no

Do you agree to abide by all animal control laws with regards to your foster dog? *

yes

no

Why do you want to become a foster parent? *

How did you hear about us? (Facebook, Previous Adopter/Foster, Etc.) *

Signature

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