Foster

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Do you: *

Own

Rent

Live with Parents

Other

Household Setting

Rural

Suburban

Urban

Describe your Homes Activity Level

Busy/Noisy

Moderate Comings/Goings

Quiet with Occasional Guests

Does Anyone in your Household have Allergies to Animals? *

Yes

No

Are all members of your Family agreeable to Fostering a Dog? *

Yes

No

Do you have a preference in sex of foster?

Male

Female

No Preference

Are you willing to foster or adopt a dog of any age?

Yes

No

What size dog are you willing to foster? (Check all that apply)

Small

Medium

Large

Are you willing to take your foster dog / your adopted dog to vet appointments at a convenient time for you? *

Yes

No

If fostering, do you drive or have access to a vehicle to bring your foster to events and appointments

Yes

No

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? *

Yes

No

Have you had any experience with with an emotionally or physically neglected or abused dog? *

Yes

No

Are you willing to use a crate for a dog if recommended? *

Yes

No

Do you have a fenced yard? *

Yes

No

Partial

Are you ok with this?

Yes

No

Vet Reference: Full Name *

First Name

Last Name

Reference #1: Full Name *

First Name

Last Name

Phone Number

(###)

###

####

Reference #2: Full Name

First Name

Last Name

Phone

(###)

###

####

Reference #3: Full Name

First Name

Last Name

Phone

(###)

###

####

Date *

MM

DD

YYYY