Foster Application for Dogs

Full Name

First NameLast Name

Age

E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number - Cellular

Area CodePhone Number

Puppy or dog of interest in fostering?

Do you:

OwnRentLive with ParentsOther

Household Setting

RuralCity

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

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to Fostering a Dog?

YesNo

Please List any Pets you have. (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines,

Would you be willing to have a No Dogs Left Behind Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

YesNo

Veterinarian Name

First NameLast Name

Phone Number

Area CodePhone Number

Are you willing to foster a dog of any age?

YesNo

If not, what age would you consider?

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

YesNo

We cannot guarantee a dog 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?

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?

YesNo

Do you have a fenced yard?

YesNoPartial

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

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 No Dogs Left Behind 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 No Dogs Left Behind 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 No Dogs Left Behind from any liabilities or damages that may be incurred because of fostering such dog(s). I agree to have No Dogs Left Behind complete reference call checks . I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to No Dogs Left Behind and try to give No Dogs Left Behind a 2 week period to try and find another suitable foster for the dog(s).