Foster Application Form

How did you hear about SparKy?

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Cellular*

Area CodePhone Number

Phone Number - Home

Area CodePhone Number

Phone Number - Work

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

What type of animal are you interested in fostering?*

DogCatNo preference

What age animal are you interested in fostering? (check all that apply)*

Are you willing/able to bottle-feed newborn animals?*

YesNo

Are all members of your Family agreeable to Fostering?*

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)*

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

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

SmallMediumLargeNo preference

Please describe the type of animal you are willing to foster (Please include breed, coat length, personality traits, energy level) We always want to make sure we have the best fit for our foster homes.

Are you willing to take your foster dog to vet appointments?*

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 an animal 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 dog?*

YesNo

If Yes please explain

Are you willing to use a crate for a dog 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?

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.

Please list a vet reference and 2 personal references with names, addresses, phone numbers and how related. We prefer it not to be relatives. Are you ok with this?*

YesNo

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference #1: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Reference #2: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

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 PAWS ANIMAL RESCUE OF KENTUCKY CORP. 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 PAWS ANIMAL RESCUE OF KENTUCKY CORP. and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster animal.

I accept full responsibility for the animal(s) actions at all times, and release SAVING PAWS ANIMAL RESCUE OF KENTUCKY CORP. from any liabilities or damages that may be incurred because of fostering such animal(s).

I agree to have SAVING PAWS ANIMAL RESCUE OF KENTUCKY CORP 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 animal(s) anymore that I will return the animal(s) to SAVING PAWS ANIMAL RESCUE OF KENTUCKY CORP. and try to give SAVING PAWS ANIMAL RESCUE OF KENTUCKY CORP a 1 week period to try and find another suitable foster for the animal(s).

Date

MonthDayYear

Your name*

E-mail