Animal Foster Application Form

Please remember to hit "SUBMIT" at the end or your information will not be saved and sent to us. Contact us at mshopefulhearts@gmail.com with any questions regarding this form. Thank you!

DO NOT USE YOUR PHONE OR TABLET TO FILL OUT THE FOSTER APPLICATION AS IT IS NOT COMPATIBLE!!!!

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Employer

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Work Phone Number

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

Describe your Homes Activity Level

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

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

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex,UTD Vaccines, Heartworm, Living/Deceased)

Would you be willing to have a Hopeful Hearts Animal Rescue call your veterinarian for a reference check? (Please authorize vet to speak with us)

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

I understand that I need to contact my veterinarian and let them know that they have my permission to give Hopeful Hearts Animal Rescue any needed information relative to the foster process. And that by not doing so will slow down the process.

Do you have a preference in sex of foster?

Are you willing to foster a dog of any age?

If not, what age would you consider?

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

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes

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

If No please explain

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

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

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

If Yes please explain

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

Do you have a fenced yard?

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Hopeful Hearts animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Hopeful Hearts Animal Rescue and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog. I accept full responsibility for the dog(s) actions at all times, and release Hopeful Hearts Animal Rescue from any liabilities or damages that may be incurred because of fostering such dog(s). I agree to have Hopeful Hearts Animal Rescue complete reference call checks and conduct a home visit inspection to be able to approve my foster application. I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Hopeful Hearts Animal Rescue and try to give Hopeful Hearts Animal Rescue a 2 week period to try and find another suitable foster for the dog(s).

Date

MonthDayYear

Your name

Co-Applicant name (if applicable)

DO NOT USE YOUR PHONE OR TABLET TO FILL OUT THE FOSTER APPLICATION AS IT IS NOT COMPATIBLE!!!!