Grimes County Animal Rescue Foster Application

Foster Application
Which animal(s) are you interested in fostering? (Name/'s)
First & Second Choices
If unavailable what would your Foster Preference be? (Check all that apply)
Are you willing to work with us to correct any possible behavior issues that the rescue may have?
Do you have a trainer that you would use if needed? Yes / No (If Yes / Provide Information)
Adopter Personal Information
Name

First NameLast Name
Date of Birth?
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Work Phone;

Area CodePhone Number
Contact Number

Area CodePhone Number
Yourself & Family
Please fill out the entire application. All questions marked with a ( * ) are required and they must be answered. If they are not, the application will not submit. If any of those marked required do not pertain to you, mark (N/A) in order to move forward with the application process.
List the Names & Ages of any additional (Adult) family members or those who live in your home.
List the Names & Ages and Relationship to you of any Children under the age of 18 who live with you or who visit your home on a regular basis.
List the Employers, Occupations & Hours of Everyone who lives in your home?
Home Environment
Do you Own or Rent your home?
Choose which best describes your living situation.
If a Rental, does your lease permit you to have animals?
If living in an apartment / condo are there any restrictions on dog or cat ownership or Breed? (Explain)
Landlords Name:

First NameLast Name
Landlord's Phone #

Area CodePhone Number
Do you have a yard with a fenced in yard?
If Yes, Please describe in detail including the Type & Height of fence and any Security measures taken to prevent animals from escaping or being harmed by predictors.
Please be specific with your description.
IF No, Please describe how you plan to exercise the animal ?
Foster Animal Living Space & Care

This is important information, Please be Specific.
How many hours per day will the pet be left alone?
Please describe in detail what the pets living situation will be. (Please give a detailed description including hours when no one will be home.)
Please be very Specific with your answer .
Current & Previous Pets

Including Vet Care
Have you had rescues previously?
If Yes, name, ages, breed? Describe: Where you got them, where they are now and if re homed why?
Please be specific
Other animals living in your home? (Click all that apply)
Are your pets currently UTD on Vaccinations?
Are your pets on Heart-worm Preventative?
Are your pets Spayed or Neutered?
List ALL family Pets/ Include the Following: (Type / Breed / Age / Dates of last Vet. appointment & Vaccinations, Heart-worm, Flea meds. & Spay/Neuter dates)
Have any of your pets Ever displayed any Food or other aggression's toward other animals or humans?
If so, Please give a detailed description. (Include: Date of any bite incidents)
List all Previous pets that you've owned in the past 5 yrs. (Include: Years owned & where they are now.
Vets & Personal References
Name & Address of Current Vet

Name

Street Address Line

CityState

Zip Code
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Name & Address of Previous Vet

Name

Street Address Line

CityState

Zip Code
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
Name & Address of Groomer

Name

Street Address Line

CityState

Zip Code
Phone Number

Area CodePhone Number
Provide 3 personal References including at least 1 person who lives with you. (Include: How they know you).
Must Read
By signing via electronically I agree that the information that I have provided in this application is complete and correct. I understand that any false information I have provided will invalidate this and any future applications. I further declare that I am financially and physically able to care for a foster animal. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of my foster animal. I understand and agree to get yearly dog tags and provide Grimes County Animal Rescue with verifiction includilng the assigned number. I release Grimes County Animal Rescue from any liabilities I may incur from the adoption process or by the rescue while in my care.
Please sign below:

Type your full name as entered above
Date

MonthDayYear
Date
Grimes County Animal Rescue

A Texas 501c3 Non-Profit Corp
Should be Empty:

Foster Application

Adopter Personal Information

Yourself & Family

Home Environment

Foster Animal Living Space & Care

Current & Previous Pets

Vets & Personal References

Must Read

Grimes County Animal Rescue