Senior2Senior Forever Foster Application

Senior2Senior / Forever Foster Program

Because this program provides ongoing medical, nutritional, and wellness support, participation is limited to foster homes located within approximately 30 miles of Living Grace Canine Ranch.

How did you hear about LGCR's Senior2Senior Forever Foster Program?

Examples: Friend, I'm an LGCR Volunteer, Social Media, Event

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Do you live in a:

Describe your Homes Activity Level

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

Do you currently have any pets? Name, Breed, Age, Altered, Sex, Up-To-Date on Vaccines

Please list the most recent deceased pet. Name, Breed, Age at death, Cause of Death and how many years in your loving care.

Do you have a preference in sex of foster?

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?

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

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?

How will you foster companion receive daily exercise?

Vet Reference

Veterinarian Clinic Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

By sending this electronically, I acknowledge that I have fully read this questionnaire and comprehended it.

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 LGCR canine I fostered.

I certify that the above information is correct.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless LGCR and its members from any claims, damages, costs, or actions incurred because of the foster dog's care or actions.

I accept full responsibility for the dog(s) actions at all times and release LGCR from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have LGCR complete reference call checks and conduct a home visit inspection to approve my foster application.

I understand and agree that fostering an LGCR canine is a lifelong commitment, and I will abide by all LGCR written and verbalized guidelines.

Date

MonthDayYear

Your name

E-mail

Senior2Senior/Forever Foster Program