Saint Mutts Rescue Foster Application

Full Name*

First NameLast Name

How did you hear about Saint Mutts Rescue?*

Age*

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Cellular*

Phone Number - Home

Phone Number - Work

Housing Type*

Do you own, rent, or live with your parents?:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information. If you do not rent, type "n/a"*

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

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

Does anyone in your household have allergies to animals?*

YesNo

Are all members of your family agreeable to fostering a dog or cat?*

YesNo

Please list all pets that you currently own. Please include name, breed, age, sex (and if altered), vaccination status, and heart-worm status.*

Please describe your current pets' disposition(s). How is he/she/them with other dogs and/or cats?*

Please list any previous pets (alive and deceased). Please include name, breed, age, sex (and if altered), and cause of death or rehoming reason.*

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

If you do have a preference, please explain. If you do not, put "n/a."*

Are you willing to foster a dog or cat of any age?*

YesNo

If not, what age would you consider?

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

SmallMediumLargeCat

Please describe the type of dog or cat you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.*

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

YesNo

Do you drive or have access to a vehicle to bring your foster to events and appointments*

YesNo

If "No," please explain. If this does not apply to you, please type, "n/a."*

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?*

YesNo

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

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog or cat?*

YesNo

If Yes please explain

Have you ever leash trained a dog before?*

YesNo

Have you crate-trained a puppy before?*

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? If not, how do you plan on exercising your foster pet?*

How many hours in a day would the foster be left alone?*

Veterinary Reference: Name of Facility*

Veterinary Reference: Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Veterinary Reference: Phone Number*

We ask that you call and notify your vet's office that you have listed their facility on an application to foster with our rescue. They will most likely require your approval to speak with us.

Reference #1: Full Name*

First NameLast Name

Reference #1: Relation to applicant(s):*

Reference #1: Phone Number*

Reference #1: E-mail

example@example.com

Reference #1: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Reference #2: Full Name*

First NameLast Name

Reference #2: Relation to applicant(s): *

Reference #2: Phone Number*

Reference #2: E-mail

example@example.com

Reference #2: Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

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 Saint Mutts Rescue 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 Saint Mutts Rescue 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 Saint Mutts Rescue from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have Saint Mutts Rescue 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 Saint Mutts Rescue.

Date*

MonthDayYear

Your Signature*

References