Foster Application Form

How did you hear about Saving Saluda Strays

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number *

Area CodePhone Number

Phone Number - Other

Area CodePhone Number

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, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering a Dog or Cat?*

YesNo

Are you interested in fostering a dog or cat?*

Dogs onlyCats onlyDogs or Cats

Please List any Pets you have owned in the past 10 years: (Please include Name, Breed, Age, Sex, spayed/neutered, living/deceased)*

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?

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

SmallMediumLarge

Please describe the type of dog 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 pet 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 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 pet?*

YesNo

If Yes please explain

Are you willing to use a crate 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 parks near by or trails, how many walks a day, approximate length, and activities such as agility.*

Do we have your permission to contact veterinary and personal references?*

YesNo

Name of Veterinary Clinic you use for personal pets:*

Veterinary Clinic Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Veterinary Clinic Phone Number

Area CodePhone Number

Personal Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):*

Phone Number*

Area CodePhone Number

Personal Reference #2: Full Name*

First NameLast Name

Relation to applicant(s): *

Phone Number*

Area CodePhone Number

Personal Reference #3: Full Name

First NameLast Name

Relation to applicant(s):*

Phone Number*

Area CodePhone 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 Saving Saluda Strays 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 Saving Saluda Strays and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the animal(s) actions at all times, and release Saving Saluda Strays from any liabilities or damages that may be incurred because of fostering such animal(s).

I agree to have Saving Saluda Strays 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 dog(s) anymore that I will return the animal(s) to Saving Saluda Strays and try to give Saving Saluda Strays a 2 week period to try and find another suitable foster for the animal(s).

Date*

MonthDayYear

Your name*

E-mail*