Foster Application Form Personal Information Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Household Information How many adults (21+) are in your household? * Ages of adults: * How many children (under 21) are in your household? * Ages of children: * Does anyone in the household have allergies to dogs? * Yes No If yes, who? What type of home do you live in? * House Apartment Condo Duplex Mobile Home Townhome Select your current living agreement: * Own Rent Lease Other If renting/leasing, are there pet restrictions? Yes No If yes, what are they? Landlord's Name: First Name Last Name Landlord's Phone: (###) ### #### Current Pets List all current pets (Dog/Cat, Breed, Name, Age, M/F, Altered, How long owned): * Fostering Information Who will be the primary caretaker of the foster dog(s)? * What type of yard do you have? * No yard Unfenced yard Partially fenced yard Completely fenced yard Dog run available If applicable, what is the height of the fence? If applicable, what material is the fence? Wood Chain link Brick Other If you don't have a yard, do your agree to keep your foster dog(s) on a leash at all times outside? Yes No How would you describe your level of experience with dogs? (Check all that apply) * Never had a dog Had a childhood pet dog Have had one or more as an adult Have experience with powerful breeds Have experience working with ongoing medical problems with a personal dog Have experienced working at a boarding kennel/resort/pet sitting service etc. Have experience working with behavioral problems with a personal dog Have experience working in a veterinary hospital Am a professional dog trainer Have previous foster/rescue experience None of the above If applicable, please describe your previous foster/rescue experience: Agreement • I certify that the information I have supplied is true and that any false statements may result in nullifying this foster care application. • I agree to contact a representative immediately if I need to relinquish care of the foster dog at any time. Signature Your Full Name: Date * MM DD YYYY Thank you for your interest! We have received your application and will get back to you as soon as possible!
