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.
Street Address Line 2
State / Province
Postal / Zip Code
Name of Dog or Dogs
Age of Dog
Puppy (Less than 5 months)
Young (5 months to 1 year)
Adult (1 year or greater)
Senior (7 years or greater)
Color of Dog
Size of Dog
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 Jaime, Bethany, or Dominique.
I understand that if there are any abnormalities present, they will be disclosed to me in writing via email.
Date that the dog arrived in your home
Thanks for fostering with us!!!
Should be Empty: