Foster Application

If any of the required fields do not apply, please mark "X" or "N/A"

Contact Information

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Your E-mail Address*

How many adults reside in the home?*

Ages of the adults in the home?*

Do you have any children residing in your home?*

YesNo

If yes, how many and age of each child.*

Do you have children that frequent the residence?*

YesNo

If yes please list ages.*

Current Pet Information

Do you currently have any pets?*

YesNo

Please list the name,breed and gender of each pet in your home.*

	Name	Breed	M/F	Temperment	Current on shots	On Heartworm Meds	Spayed or Neutered	Age	Weight
ONE
TWO
THREE
FOUR

Is there a medical reason your pet is not spayed or neutered and not on Heartworm Preventative?

Primary Veterinarian's Name (please contact your vet and give them permission to speak with us) *

Veterinarian's Phone Number*

Area CodePhone Number

If you have used different veterinarian's for preventative care, please list all veterinarian's information. (I.E. vaccination clinics) Veterinarian's Name

Veterinarian's Phone Number

Area CodePhone Number

Veterinarian's Name

Veterinarian's Phone Number

Area CodePhone Number

Housing Information

Do you own your home or rent?*

Landlord's Name*

First NameLast Name

Landlords's Phone Number*

Area CodePhone Number

Is there a pet deposit?*

Is there a breed or weight restriction?*

Do you have a fenced in yard?*

YesNo

If yes, what type and how high is the fence?*

Do you have to take the dog up or down stairs to get to a yard?*

Where will you keep the dog while you are away from home?*

How many hours per day will the dog be alone?*

Do you have a crate to use?*

YesNo

Are you able to separate dogs if needed?*

Do you work from home? Do you run a business from your residence if so please describe? *

Foster Information

Have you ever fostered a dog before?*

YesNo

If yes, for what rescue group?*

Are you currently fostering any animals from another rescue?*

Can you foster the dog until it is adopted?*

YesNo

If no, how long can you foster the dog?*

Are you willing to do home checks for potential adopters?*

YesNo

Do you have a current valid drivers license?*

Are you able to take the dog to and from the vet, adoption events, or meet and greets?*

Are you willing to foster a special needs dogs, IE Heartworm positive dogs, non socialized dogs, medical cases, hospice? *

Are you comfortable with all types of breeds and sizes of dogs? If no please explain.*

Are there any types of behavior that you would not be willing to work through? IE Excessive barking, not housebroken?

Why do you want to foster a dog?*

We post our available dogs on or private facebook page, do you have a facebook account and are available through messenger? *