Foster Application

Primary Caretaker*

First NameLast Name
Spouse/Significant Other

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
How would you like us to contact you to inform you that your application has been accepted? If we don't receive a response back within 24 hours then we will assume you are no longer interested.*

EmailTextCallOther
Occupation*
Employer's Name*
Please list all members of your household, including ages*
Do you own or rent your home?*
If renting, are pets allowed by your landlord?
Do you have a secure outdoor area/fenced yard?*
Are you planning on moving within the next 6 months? If yes, what are your plans for your pets if you move?*
Is anyone in your household allergic to pets?*
Is everyone in your household in agreement with the decision to foster a dog?*

Who will have primary responsibility for this dog's daily care?*
Are all current pets on vaccinations? If not, why?*
Number of dogs in your household?*
Breed, gender, and ages of these dogs?*
Number of cats in your household?*
Are they spayed/neutered? If not, why?*
Are all current pets on vaccinations? If not, why?*
Do you own any other animals? If so, please list them.*
Have you ever surrendered a pet? If so, why?*
Name of current or previous veterinarian. If this is your first pet, please include the veterinarian you intend to use.*
Veterinarian's phone number?*
Please enter a valid phone number.
Veterinarian's address?*

Your foster may have to go to the vet in the future for spay/neuters and vaccinations. The Holdenville Animal Lovers Organization (HALO) will cover these charges and provide flea/tick/heartworm treatment. If you are unable to take your foster to the vet for these then we can help with transportation. The shelter can provide your foster with food, blankets, toys, and any additional needs to ensure this dogs health and happiness!
Please read the following statements and mark the checkboxes as agreement.*
I acknowledge that I have read and fully understand the terms and conditions of the foregoing foster contract and that I will comply with the same.
Foster's Signature:*

Clear
Thank you for fostering a dog from our shelter!
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