Foster Form

Fosters Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Mobile Number

Please enter a valid phone number.Format: (000) 000-0000.

Secondary Number (family member)

Does EVERYONE in the household agree on fostering this pet?

Names and ages living in the household

Who will have primary responsibility of your foster pet?

Have you ever owned a pet before? (Check all that apply)

Do you currently have pets?

Please list the name, type, age, gender, and if pet is spayed or neutered of ALL current animals. (example: Duke, Yellow lab, 1 year old, male, neutered)

Explain what happened to previous pets

Do you have a fenced yard? What type of fence?

If you have a cat now, does it go outside?

Is it declawed?

What is the name of vet clinic you use (or used to use)?

Phone number of vet:

When did your pet last visit the vet?

Date

Are your pets current on their vaccinations?

Is your dog on heartworm prevention?

If you do not have a dog now, are you familiar with heartworms and heartworm prevention?

Where do your pets stay at when no one is home and/or at night?

Where will your foster pet stay at when no one is home/at night?

How will you introduce your new foster to the pets at-home?

How will you keep your foster separate from your current pet if needed?

If you encounter problems (chewing/digging, scratching/marking, etc.), how will you deal with them?

How many hours per day will your foster be left alone on a regular basis?

Do you have children in your home? If yes, what are their ages?

Home Type?

Renters: Name of landlord or complex manager, phone # and email

Living with family: Name, phone #, and email

What kind of pets would you be interested in fostering? (Check all that apply)

FELINE (Check all that apply)

Canine (Check all that apply)

Can you give pets medication and kept isolated from other pets.

Two Personal References

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

I agree NOT to take my foster dog to dog parks or personal trips without the foster coordinators approval (Initial)

I agree to drive my foster dog to/from adoption events at least 1 of the days on the weekends they are held locally, assuming it is healthy and of adoption age.(Initial)

I agree that I will do what I can to get my foster to vet appointment or meeting transporters . (Initial)

I agree to contact the foster coordinator should the foster pet need medical attention BEFORE obtaining said attention. I understand that if I take the foster to the vet without prior approval all charges will be MY responsibility and that the rescue will not reimburse me. (initial)

I agree to speak to potential adopters and be honest about my fosters personality as well as sharing any concerns with the adoption counselor (initial)

I understand that all the animals being fostered are the property of the rescue, not the foster or a family member and I agree to return it immediately when requested to or PAY the full adoption fee to not risk charges of theft. (initial)

I understand that the foster will be included in an adoption decision, but the final decision will be made by the rescue group, not the foster, and agree to forward any inquiries about the foster animal to the foster coordinator or his/her designee. (initial)

I certify that all information in the application is true and that providing false information will result in nullifying this application. I hereby consent to the release of information about any pet I currently own or have owned in the past by any veterinarian or animal clinic in control of such information

Signature