Second Chance Foster Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
-
Area Code
Phone Number
Alternate Phone Number
-
Area Code
Phone Number
When can you begin fostering?
Is there an end date that you will need to stop fostering?
Is there a specific pet you're interested in fostering? If so, please list their name:
What sized dog would you like to foster? (choose all that apply)
Under 15 lbs
15-35 lbs
35-55 lbs
55-100 lbs
What aged dog would you like to foster? (choose all that apply)
Neonate 0-8 weeks old
Puppy 8 weeks-6 months
Older Puppy 6 months- 1 year
Adults 1+ years
Senior 8+ years
Are you willing to foster dogs with special circumstances? (choose all the apply)
Mom with puppies
Litter of puppies
Medically Fragile Puppy/Dog
Hospice Dog
Please select the type(s) of training you are willing to help your foster pet with (choose all that apply)
Potty Training
Crate Training
Leash Training
Basic Commands
Human Socialization
Animal Socialization
Physical Therapy
How many hours a day, on average, will the pet be home alone?
What animals do you currently have in your home?
Dog(s)
Cat(s)
Small Animals (Hamsters, Birds, Lizards, etc)
Large Animas (Goats, Horses, Pigs)
Please list the breed, age, and gender of each pet in your home:
Are all of your current pets current on their vaccines?
Yes
No
I don't know
Are all of your current pets spayed/neutered?
Yes
No
I don't know
Have you ever had a pet euthanized? If so, why?
Have you ever turned a pet into the shelter? If so, why?
What kind of home do you live in?
House
Apartment/Condo with no yard
Apartment/Condo with yard
If you rent, please provide your landlords name and number:
If you have a yard, is it fully fenced? How tall is the fence?
How many adults live in your home?
If children live in your home, please list their ages:
Where will the dog stay when you are not home?
Do you have a doggy door? If so where does it lead to?
Are you able to transport the pet to (check all the apply):
Veterinary Events
Adoption Events (Charleston/Hualapai)
Meet & Greets w. Potential New Homes
Please select the supplies that you would like to be supplied with:** We will try and accommodate requests to the best of our ability.
Crate/Kennel/Play Pen
Bed/Blankets
Food
Treats
Food/Water Dishes
Toys
Potty Pads
No Supplies Needed
I understand and agree that a home-check may be required prior to being approved to becoming a foster parent.
I agree
I understand and agree that any animal I foster for Second Chance Animal Rescue is property of Second Chance Animal Rescue and that they have the right to seize or remove any animal I am fostering at anytime without reason. I understand that if I refuse to release the animal back to Second Chance Animal Rescue at their request that legal action may be taken against me and that I will be responsible for any and all fees incurred with that process
I agree
Signature
Submit
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