Foster Parent's Name
*
First Name
Last Name
Address Line 1
*
Address Line 2
City, State & Zip Code
*
Email Address
*
Home or Cell
*
(###)
###
####
Work Phone
(###)
###
####
Employer
*
What are you interested in fostering?
*
Orphaned Kitten(s)
Orphaned Puppy(ies)
Pregnant Cat
Pregnant Dog
Adult Cat
Adult Dog
Senior Dog
For dogs, how do you plan on toileting?
Leashed walks
Fenced-in yard
Runner line
Chain
Invisible Fence
Other
If you selected "Other" for the previous question, please explain:
Have you ever fostered before?
*
Yes
No
If yes, for who and why are you no longer fostering?
Why would you like to foster?
*
Do you live in a:
*
Condo/Townhouse
Apartment
Duplex
Mobile Home
House
Do you:
*
Rent/Lease
Own
If you rent, is your lease:
Yearly
Monthly
Name of Complex and/or Association
Name and Phone Number of Landlord/Owner
What is their pet policy
How long have you been at this address?
How many adults reside at your address?
*
Are there children in your home?
*
Yes
No
If yes, how many and what are their ages?
Anyone with animal allergies?
*
Would there be anyone at home during the day?
*
Yes
No
If yes, who?
If no, how long will the pets be alone?
Do you have any dogs and/or cats at home now?
*
Yes
No
Age/Breed/Sex/Spayed or Neutered
Please list each one of your pets with the above information.
Where will the foster animal(s) be when no one is home?
*
Where will the foster animal(s) sleep?
*
What is the name of your veterinarian?
Veterinarian's Phone Number
Approximate date and reason for your last vet visit:
Do any of your pets have any health or temperament issues?
We cannot guarantee that any fosters you get are housetrained. Are you willing to work with dogs that aren't housetrained?
*
Would you be willing to do some training while the dogs are in your care (leash walking, sit, stay and such)?
Signature
*
First Name
Last Name
Today's Date
*
MM
DD
YYYY