Foster Acknowledgement Form

This form is required by PACFA to assure that fosters are aware of any potential behavioral, physical, or neurological abnormalities that may be present in your foster dog upon arrival in the rescue or upon changing foster homes.
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Email*
example@example.com
Dog Information
Name of Dog or Dogs*
Age of Dog*
Color of Dog*

BlackChocolateRedBlueTanWhiteBrindleYellowIvoryBrownOrangeCream
Size of Dog*

Extra SmallMediumExtra LargeSmallLarge
List any physical, neurological, or behavioral abnormalities that have been disclosed to you by rescue staff or previous foster, if applicable.*
If you are unsure of any, please feel free to ask
I understand that if there are any abnormalities present, they will be disclosed to me in writing via email.*

Yes
Date that the dog arrived in your home

MonthDayYear
Date
Signature*

Clear
Thanks for fostering with us!!!
Should be Empty:

This form is required by PACFA to assure that fosters are aware of any potential behavioral, physical, or neurological abnormalities that may be present in your foster dog upon arrival in the rescue or upon changing foster homes.