Foster Application

Full Name*

First NameLast Name

Age*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home*

Area CodePhone Number

Phone Number - Alternate

Area CodePhone Number

Reference

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information and any restrictions.

Household Setting*

RuralCity

Describe the Activity Level in your Home*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

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

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering?*

YesNo

Please List any Pets you have or have had over the last 5 years. (Please include Name, Breed, Age, Living/Deceased)*

Veterinarian*

First NameLast Name

Phone Number

Area CodePhone Number

Have you fostered for another agency? If so please list. *

What kind of animals are you willing to foster?*

Do you have a preference in the sex of foster?*

MaleFemaleNo Preference

What age range are you willing to foster?*

SeniorsNeonatesAdultsBabies

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

SmallMediumLarge

What specialties have you fostered before?

Bottle FeedingBehaviour RehabMedical RehabFearful

Please list any issues you are not willing to deal with. *

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

YesNo

If No please explain

Are you willing and able to medicate your foster.*

YesNo

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

YesNo

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

YesNo

Do you have a fenced yard?*

YesNoPartial

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

Do you have a spare room for cats/kittens?*

YesNoOther

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 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 The Farm Rescue Foundation 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 The Farm Rescue Foundation from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have The Farm Rescue Foundation 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 The farm Rescue Foundation and try to give The Farm a 2 week period to try and find another suitable foster for the dog(s).

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MonthDayYearHourMinutesAM/PM Option

Your name*

Co-Applicant name (if applicable)