Dog Foster Care Application

Today's Date

Date

Full Name

First NameLast Name

Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Preferred method of contact:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

To be considered a foster parent, you must:

Be 21 years of age or older
Provide a copy of your driver’s license
Have the knowledge and consent of your landlord or condo association (if applicable)
Be able and willing to spend the time necessary to provide proper care for the dog

Completion of this application DOES NOT guarantee acceptance as a foster home/parent.

Why do you want to foster a dog?

How did you hear about our program?

What previous experience do you have with dogs?

List names and ages of all children living in your home or visiting on a regular basis:

List names of all adults living in your home:

Are all members of your household agreeable to having foster animals in their home?

What kinds of pets are currently living in your home? (Please list all) - Include: Name, Species, Breed, Age, Gender and if they're Spayed/Neutered.

If you do have pets, are you able to separate them from your foster animals, if necessary?

Are your pets up-to-date on their vaccinations?

Do your pets get monthly heartworm preventative?

Do your pets get monthly flea and tick preventatives?

Please give contact information for your veterinarian:

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have you ever turned a pet in to a shelter?

YesNo

If yes, explain when and why:

Have you ever had a pet euthanized?

YesNo

If yes, explain when and why:

Where do you live:

If other, describe:

Do you own or rent your home?

If you rent, please provide a letter from your landlord giving you permission for this dog to live in your home.

If you live in a condo please provide us with a copy of the by-laws pertaining to having pets in the condo or a letter of permission from the condo association.

Does any member of your household have any allergies to dogs?

YesNo

Is anyone home during the day?

YesNo

If yes, who?

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

What hours of the day and evening is someone usually at home?

How many hours in the day or night will the dog be without human companionship?Please explain:

Do you have a cat or dog door that leads outside?

YesNo

If yes, where does it lead to?

Do you have a fenced-in yard?

YesNo

If yes, what height?

If you don’t have a fenced-in yard how do you plain to contain the dog?

Where will the dog stay while you are not at home?

Where will the dog sleep at night?

Are you willing to spend time training the dog to deal with problems such as jumping up, barking, pulling on the leash, housebreaking, etc?

YesNo

Please explain:

How will you deal with destructive behavior, messes in the house, excessive barking?

If it becomes necessary, how will you isolate foster animals from your own animals?

How will you exercise the dog and where?

Time available for exercising the dog:

Please describe in as much detail as possible the daily routine you plan for your foster dog:

Are you willing to have a representative from Spotty Dog Rescue come for a home check?

YesNo

If no, please explain:

Have you ever been convicted of abuse or neglect of a child or animal?

YesNo

If yes, please explain:

Are you willing to transport the dog to the veterinarian, when and if necessary?

Are you willing to bring the dog to offsite adoptions to be seen by the public?

Are you willing to assume some financial responsibility in fostering the animal?

If so, please describe.

How long will you be able to foster this dog?

Will you be willing to give up the dog if and when an adoptive home is found?

YesNo

Please provide two personal references:

Name

First NameLast Name

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Name

First NameLast Name

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

I understand that if I am approved for fostering, I must abide by the terms of the Spotty Dog Rescue, Inc. Foster Care Agreement.

By signing below, I acknowledge that the information provided on this application is correct to the best of my knowledge. If at any time the information I have p

Signature

Please write your full name in this box to agree*

Date