Justice for Samson

Justice for Samson

Foster form
Foster Form Agreement

All questions with an asterisk are required
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Employer information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Size of dog you are looking to foster?

Less than 30 lbs31-50 lbs51-75 lbs75+Open
Gender of dog you are looking for?

MaleFemaleOpen
Do you currently have other pets?

Names types ages please
Names This is a fill in the blanks field. Please add appropriate blank fields and text.
This is a fill in the blanks field. Please add appropriate blank fields and text.
Type This is a fill in the blanks field. Please add appropriate blank fields and text.
How active of a dog are you looking for?
A dog who is

Very activeActiveCalm & MellowGood with catsDog park materialGood with kids under 8Good with kids over 8Good with seniors
Age of dog you're looking for
Please check all that apply

Nursing litter8 weeks -6 months6 months to 1 year1-6 years5 years+Open
Would you consider fostering
Please choose all that apply

BlindDeafHypo allergenicPregnantHeartworm positiveAmputeeeOn going medical.needs
Length you are Willing to foster
Type a question

RegularLong termShort termTemporaryFoster to adoptOpen
I live in

Own homeOwn townhouseRent homeRent townhouseOwn condoRent condoOther
Renters

Please fill out the following information for landlord
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Names and ages of all individuals living at address
Name

First NameLast Name
Age
Name

First NameLast Name
Age
Age
Name

First NameLast Name
Name and phone of current vet's
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name and number of past vets
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
I will committ to
With love, patience ,and rewards

TrainingNo trainingBasic trainingHousebreaking
Do you have a fenced in yard
Type a question

NoYes
What type of fence do you have

Chain linkWoodPanelsElectricDoggy door3-4 ft6-8 ftOther
Would you like more information on the following
Type a question

Healthy eatingJoint supplementHeartwormsTrainingCBD/Hemp products
Please give 3 references

1 family member and 2 friends
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
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 JFSAR 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 JFSAR 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 JFSAR from any liabilities or damages that may be incurred because of fostering such dog(s).I agree to have JFSAR 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 JFSAR and try to give JFSAR a 2 week period to try and find another suitable foster for the dog(s).
Signature

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