Foster Application
Thank you for taking the time to fill out this application. Your information will remain confidential and used only as part of the NKGC Foster Care Program.
Name
First Name
Last Name
Co-Applicant Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
1st Phone Contact
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Area Code
Phone Number
2nd Phone Contact
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Area Code
Phone Number
How did you hear about NKGC?
Why do you want to foster?
Information about your household
Humans- Names, Ages, & Occupations
*
Current Dog(s) - Name, Age, Breed, Gender, Altered, Comfortable with dogs? *
*
Current Cat(s) – Name, Age, Gender, Altered, Comfortable with dogs? *
Current Other Pet Types - Type, Age, Comfortable with dogs? *
Upload copy of vaccination records on each pet. Or email to nokillglynncounty@gmail.com
*
Browse Files
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If you do not have a dog now, have you ever owned a dog for which you were the primary caretaker?
*
Yes
No
If yes, what happened to the dog(s)?
*
If you do not have small children living in your home, will your Rescue Dog come into regular contact with any children under the age of 10?
*
Yes
No
If Yes, how often and what ages?
*
Does anyone in your house have allergies to animals? *
*
Yes
No
Do you rent or own your home?
*
Rent
Own
How long have you been at your current residence?
*
If at current residence less than a year, please give previous address:
*
If you rent, has your landlord provided written permission for you to have a dog?
*
Yes
No
Please provide your landlord’s name & phone #:
*
Do you have a fenced yard? *
*
Yes
No
If yes, please describe the fence (Type, Width, Length, Height):
*
If you don't have a fence, are you willing to install one or do you have a plan to install one?
*
If no, please indicate why not?
*
Do you have a swimming pool? *
*
Yes
No
Information on how you will care for your foster dog
Who will care for, train and exercise the foster dog? *
*
Are there any physical or mental conditions that may prevent you from giving care to your foster dog? *
*
How many hours a day will you exercise your foster Dog? *
*
Where will your Rescue Dog be kept during the day? *
*
How many hours per day will your dog(s) be alone (without humans) on a regular basis – not including lunch breaks? *
*
Will the dog(s) be allowed in the house? *
*
Yes
No
Will the dog(s) have the free run of the house? *
*
Yes
No
Will the dog(s) be kept out of certain areas in the house? *
*
Yes
No
If the dog will be kept out of certain areas in the house explain what area and why.
*
Are you familiar with crate training? *
*
Yes
No
Are you willing to use a crate for your Rescue dog? *
*
Yes
No
Will the dog(s) be kept on a runner or tied outside? *
*
Yes
No
Will the dog(s) live in the yard? *
*
Yes
No
Will the dog(s) be walked daily? *
*
Yes
No
Will the dog(s) be exercised in a fenced yard? *
*
Yes
No
Will the dog(s) be allowed to run free outside of a fenced yard? *
*
Yes
No
References
**Please contact your vet’s office to authorize them to speak with NKGC. Failure to do so could delay the processing of your application.
Veterinarian, Phone number & Address? *
*
If you haven’t been with this vet for your pet’s entire life, please also provide us with your previous vet’s contact information.
Personal References - Not a relative or household member (name, phone & relationship)
Reference #1 *
*
Reference #2 *
*
Miscellaneous Questions
May we visit your home prior to application approval? *
*
Yes
No
Have you sold, given away, or surrendered a pet to a shelter, pound or Humane Society? *
*
Yes
No
If yes, please provide details:
Do you understand the state and local ordinances concerning leashing? *
*
Yes
No
Have you or any member of your family/household been cited for leash law violations or animal cruelty? *
*
Yes
No
If yes, please provide details?
Are you aware a foster dog may take time and adjustment to settle into your home? *
*
Yes
No
I understand that NKGC will cover any vet costs for my foster dog ONLY if the vet visit is approved by Dog Coordinator, Caroline Blackshear.
*
Yes
No
I understand that potential adopters may call me and visit my home to meet the Foster dog. I may also be asked to bring a Foster dog to NKGC sponsored meet and greets. *
*
Yes
No
PREFERENCE QUESTIONS
Do you have any size, breed or weight requirements for your foster dog?
*
Are you ready to foster this dog immediately? *
*
Yes
No
AGREEMENT
I/We attest that I/we understand that NKGC makes no guarantees or statements regarding any dog's age, breed, health, or temperament. While NKGC has made every effort to provide accurate history and assessment of all of the dogs, NKGC is not able to guarantee any dog’s age, breed, medical status or history, behavior or disposition. I/We hereby release NKGC and its employees, directors, members and representatives of any and all possible claims arising from injury or damage caused by any dog adopted by me/us to any person or property or relating to the health or temperament of the dog, including any expenses related thereto.
Signature
Date
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Month
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Day
Year
Date
Submit
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