Animal Foster Application

Please Note:

* If you want to ADOPT or FOSTER TO ADOPT

please fill out the adoption application HERE

This FOSTER application is for a: *

Dog Cat Puppy Kitten

If the application is for a dog, would you be able to foster medium (up to 60 lbs.) or large dogs (60 and over)? *

Large Dog Medium Dog Small dog

Where did you hear about us

Full Name: *

Are your over 18 *

Date of Birth *

E-mail: *

Street Address: *

City: *

State: *

Zip: *

Home Phone:

Area Code Phone Number

Cell Phone: *

Area Code Phone Number

Names of all persons living in your household, their relationship to you and their ages: *

Type of Residency: *

Home Apartment/Other

Do you own or rent?

Owner Rent

If you live in a condo or apartment what are the association's rules about pets? *

If you rent, do you have, in writing, the landlord's permission to have a pet ? *

Yes No N/A

Landlord's Name and contact number:

Do you have a backyard? *

Yes No

If yes, is it fully fenced in? *

Yes-6FT Yes-5ft Yes-4ft Yes-3ft Yes-other Not Fenced

Name your past animal with type and breed *

How many and what kind of pet(s) do you presently have in your home? *

Have you ever fostered for a rescue group in the past?

Yes No

If you answered yes. Was it for cats or dogs?

If you fostered, name of rescue group and name and phone number of your contact:

How many hours the pet will be left alone at home daily? *

Are you willing to foster a rescue with behavioral issues? *

Yes No

Are you willing to foster a family (example: pregnant mother or a mother with litter?) *

Yes No Depends

If you answered DEPENDS list the kinds of families you would NOT be willing to foster?

Are you willing to make at least a 2 month commitment? *

Yes No

Do you have any vacations planned or are there any dates that you will not be able to foster? *

Yes No

Are you willing to set up and attend meetings with potential adoptors? *

Yes No

Do you have vehicle for use when transporting your foster? *

Please name 3 non-related references below

Reference #1 Cell phone and email. *

Reference #2 Cell phone and email. *

Reference #3 Cell phone and email. *

Your vet name, address and phone number. *

In order to help us screen your application faster, please call your vet as soon as you are done filling this application and give permission to release information to us,

Does your pet's file at the vet is under another name? If yes please let us know.

Is there anything you would like us to know that we havent asked:

I have read and agree to the following terms of the foster application *

Yes No

By signing this application via a digital signature using my date of birth (example: January 1, 1950) I certify that the information in this application is true and correct. *

FOR FFLAR ONLY

Land Lord

References

Vet

Home Visit

Approved?

FOSTER APPLICATION - FFLAR

Digital Signature