Foster Application

Who are you interested in fostering?

Full Name *

First Name Last Name

E-mail *

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Employer & Occupation:

List everyone who lives in your household, including yourself, names and ages: *

Where will the dog stay during the day? *

At night? *

How many hours a day will the dog be left home alone? Where will the dog be during this time? *

Does everyone in the home want a Pit Bull? *

Who will be responsible for caring for the dog? *

How will you exercise the dog? *

A fenced in yard is not required for all adoptions, but is required on a case by case basis. Is your yard fenced in? *

Type of Fence *

Do you Rent or Own? *

If renting, does Landlord approve of you fostering a Pit Bull? *

Landlords name:

Landlords number

Area Code Phone Number

Please indicate if any of the following have breed specific restrictions regarding your residence. Check all that apply. *

Homeowner's Insurance Rental Agreement Homeowner's Association/Subdivision Parish City NONE

Please list all current animals living in your home. Include Breed, Name, Gender, Age, Spay/Neuter, Immunizations Up-To-Date, Heartworm Prevention Up-To-Date: *

Please list any animals you have owned in the past five years, exclude those still living with you. Include Breed, Name, Gender, Spay/Neuter, Source of animal, Years Owned, Where is pet now? *

Veterinarian Clinic References: Please supply the name of your current veterinarian clinic, or the one who saw your previous pet(s). If you have never had a veterinarian please indicate N/A *

Veterinarian Phone Number *

Area Code Phone Number

Of all the breeds available, why do you want a Pit Bull? Please relate any prior experience you have had with the pit bull breed. *

Additional Information you would like to share about yourself and your family:

Please list a personal reference that can attest to the care of your pets and your love for animals. Please include a phone number. (Preferably not a family member.) *

Please read the following below and initial

I hereby authorize my Veterinarian/Clinic, listed above, to release any and all information on file under my/animal’s name. This can include, but is not limited to, vaccination history, heartworm prevention/treatment history, release of names and information of animals that are not listed on this application but listed with my Veterinarian/Clinic. *

I will make the effort to bring my foster dog to adoption events. If you cannot attend, you are welcome to drop off/pick up. We will email you or contact you ahead of time so you will have time to plan to attend. Adoption events are usually within a 30 mile radius of Baton Rouge. As of this time, we do not have set dates for events. They are mainly TBD. *

I understand that while The Pit Stop Rescue is the owner of my foster, I also understand that I am responsible for the preventable actions of my foster. My failure to responsibly supervise the dog or alert The Pit Stop Rescue of any concerns may result in my own liability. *

I understand, as a foster, there is no way to know when the dog will get adopted. I am committed to fostering the dog as long as it takes for an adopter to be approved *

I understand that if I can no longer foster, I need to let The Pit Stop Rescue know ASAP as it takes much time to approve a new foster home. I agree to be patient while another foster home can be found as I do commit to the fostering process. *

I agree to absolve The Pit Stop Rescue and all of the representatives from any liability in reference to a dog listed with the Pit Stop Rescue. *

I agree that the dog will not be used in any illegal activities nor be found at any time in a municipality where Pit Bull presence is illegal. *

I agree that the dog is to be kept as a house pet. The dog shall not be sold for any reason. If I can no longer keep the dog, I will contact The Pit Stop Rescue and make arrangements to return the dog to The Pit Stop Rescue. *

Date of Application: *

Prospective Foster's Printed Name: *

This serves as the Foster's Signature