Foster Application Form

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry

Phone Number

Area CodePhone Number

Alternate Phone Number:

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Describe your Homes Activity Level

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

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

Please List any Pets you have (Please include Name, Breed, Age, Spayed/Neutered, Sex, UTD Vaccines,

Do you have a preference in sex of foster?

Are you willing to foster a dog of any age?

If not, what age would you consider?

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

If necessary are you willing to take your foster dog to vet appointments at a convenient time for you?

If necessary, are you willing and able to medicate your foster?

We cannot guarantee a dog to be housetrained, are you equipped to train with love and patience?

Have you had any experience fostering dogs?

If Yes please explain

Are you willing to use a crate for a dog if recommended?

Do you have a fenced yard?

How many hours in a day would the foster be left alone?

Please list 3 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives.

Reference #1: Full Name

First NameLast Name

Relation to applicant(s):

Phone Number

Area CodePhone Number

Reference #2: Full Name

First NameLast Name

Relation to applicant(s):

Phone Number

Area CodePhone Number

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.

I certify that the above information is correct, and I understand that the information will be verified.

I agree to have A DOZEN ROSES ANIMAL RESCUE complete reference call checks.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to A DOZEN ROSES ANIMAL RESCUE and try to give them a 1 (one) week period to try and find another suitable foster for the dog(s).

Date

MonthDayYear

Your name

E-mail

A Dozen Roses Animal Rescue - New Brunswick: Foster Application