The Mutty Misfits Foster Application

Full Name

First NameLast Name

This is a fill in the blanks field. Please add appropriate blank fields and text.

How did you hear about The Mutty Misfits?

Age

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Cellular

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

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 Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)

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)

Please describe the type of dog 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 dog to vet appointments at a convenient time for you?

Do you drive or have access to a vehicle to bring your foster to events and appointments

If No please explain

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

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

Have you had any experience with with an emotionally or physically neglected or abused dog?

If Yes please explain

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

Do you have a fenced yard?

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.

Please list a personal reference below including their name, address, phone number and how related. We prefer it not be a relative. Are you ok with this?

Vet Reference: Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Character Reference: 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 submitting this form electronically, I confirm I have read and understood the questionnaire. I understand that submitting an application does not guarantee approval, and false information or failure to meet requirements may result in denial. I consent to reference checks and a home visit. I release The Mutty Misfits and its members from any liability related to the foster dog’s care or actions and accept full responsibility for the dog. If I can no longer foster, I agree to return the dog to The Mutty Misfits and provide a two-week notice to help find a new foster home.

Date

MonthDayYear

Your name

E-mail

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