Foster Application Form

How did you hear about The Boring Safe Haven?

Full Name*

First NameLast Name

Age

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Phone Number - Cell

Phone Number - Work

Do you live in a:

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

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/Cat?

YesNo

Please List any Pets you have (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm)*

Do you have a preference in sex of foster?

MaleFemaleNo Preference

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

YesNo

If not, what age would you consider?

Are you willing to foster cats/kittens as long as it takes for them to be adopted? Foster cats or kittens can be expected to stay in foster care from 3 weeks to several months.

YesNo

If no, please explain - examples: "I can foster for 4 weeks but that is the longest commitment I can offer" ; "I can foster for 3 weeks but will be going on vacation after the 3rd week"

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

SmallMediumLarge

Please describe the type of dog and/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 and/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

Are you willing and able to medicate your foster, even if it just a flea medication or 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

Are you willing to use a crate for a dog or cat 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?

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

What are you plans to exercise your foster? Please list any toys, equipment, parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Please list 2 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives.

YesNo

Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Reference #2: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

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 BORING SAFE HAVEN SOCIETY 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 BORING SAFE HAVEN SOCIETY and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster animal. I accept full responsibility for the animal(s) actions at all times, and release BORING SAFE HAVEN SOCIETY from any liabilities or damages that may be incurred because of fostering such animal(s). I agree to have BORING SAFE HAVEN SOCIETY 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 animal(s) at any time that I will return the animal(s) to BORING SAFE HAVEN SOCIETY and try to give BORING SAFE HAVEN SOCIETY advanced noticed to try and find another suitable foster for the animal(s). I agree that once the animal(s) is ready for adoption, I will relinquish the animal(s) to the adopter and/or BORING SAFE HAVEN SOCIETY.

Date

MonthDayYear

Your name*

E-mail

example@example.com