Who are you interested in fostering?
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Employer & Occupation:
List everyone who lives in your household, including yourself, names and ages:
Where will the dog stay during the day?
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?
Please indicate if any of the following have breed specific restrictions regarding your residence. Check all that apply.
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
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.
It is a requirement that the foster dog attend the adoption events! We have at least 3/month. Most of PSR adoption events are in Baton Rouge. I understand that I am responsible for making sure my foster dog attends a minimum of 2 Saturdays/month. (if you are still interested in fostering but your location will not allow you to come to Baton Rouge, special accommodation MAY be arranged.
I understand that while The Pit Stop Rescue is the owner of my foster, I also understand that i am responsible for the foster. My failure to 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
Should be Empty: