Foster/Adoption Application for Dogs

Full Name

First NameLast Name

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:

Are you Fostering or Adopting?

Are you able to Foster/Adopt multiple dogs at a time?

Do you:

If Renting: are dogs allowed?

Household Setting

Describe the Activity Level in your Home

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

Are all members of your household in agreement to Fostering/Adopting a Dog?

Please List any Pets you have (Please include Name, Breed, Age, Speyed/Neutered, Temperment)

Would you be willing to have a Bella's Angels Rescue member contact your veterinarian for a reference check? (Please authorize vet to speak with us)

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you have a preference in the sex of foster/adoptee?

Are you willing to foster/adopt a dog of any age?

If not, what age would you consider?

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

Please describe the type of dog you are willing to foster/adopt (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/adopted dog to vet appointments at a convenient time for you?

If No please explain

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

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

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

Do you have a fenced yard?

If fenced, please indicate size of space

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

What are you plans to exercise your foster/adoptee? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility

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 and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Bella's Angels Rescue animal fostered by me.

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

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

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

I agree to have Bella's Angels Rescue complete reference call checks and conduct a home visit inspection to be able to approve my foster/adoption application.

I agree that if I'm unable to foster/adopt the dog(s) anymore that I will return the dog(s) to Bella's Angels Rescue and try to give Bella's Angels Rescue a 2 week period to try and find another suitable foster/adoption for the dog(s).

Click to edit

MonthDayYearHourMinutesAM/PM Option

Your name

Co-Applicant name (if applicable)

Number

Full Name

First NameLast Name