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 Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

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

Black Chocolate Red Blue Tan White Brindle Yellow Ivory Brown Orange Cream
Size of Dog *

Extra Small Medium Extra Large Small Large
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. *

Yes
Date that the dog arrived in your home

Month Day Year
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.