Habitat For Hounds Foster Application

Foster Application

Please complete the form below
General Information
Full Name *

First Name Last Name
Date *

Month Day Year Date Picker Icon
Phone Number *

Area Code Phone Number
Birth Date *
Month/Day/Year
Driver's license # *
Email Address
Are you or your spouse currently employed? *

Yes No
Home Information

Current Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Rent or Own? *

Rent Own
Are pets allowed? *

Yes No
Please explain any restrictions on animals *
Landlord's Name *
Landlord's Phone Number *

Area Code Phone Number
Time at this Address *
About how many hours per day will somebody be home? *
Will there be children around the pet? *

Yes No Sometimes
Number of children in household: *
Age(s) of child(ren): *
Does your home have a yard? *

Yes No
Is your yard fenced in? *

Yes No
Describe fence height/material: *
Traffic near home:
Pet History
Do you currently own,or have you owned any pets in the past 5 years? *

Yes No
Veterinarian's name: *
Veterinarian's phone number: *

Area Code Phone Number
Which pets do you own? *

One Dog One Cat Multiple Dogs Multiple Cats
How many dogs? *
How many cats? *
Are your pets spayed/neutered? *

Yes No
Are your pets up-to-date on their vaccines? *

Yes No
Have you ever turned a pet over to a humane society/organization? *

Yes No
Please explain why: *
Foster Preferences
Have you fostered a pet before? *

Yes No
What type of animal are you willing to foster? *

Dog Cat
Preferred gender: *

Male Female Either
Preferred size of dog (select all that apply): *

Small (up to 30 lbs) Medium (31 - 65 lbs) Large (over 65 lbs)
Are you willing to foster a puppy or kitten? *

Yes No
How long are you willing to foster a dog at any one time? *
Are you willing to foster more than one animal at once? *

Yes No
How will the foster pet receive exercise? *
Where will the foster pet be kept when you're not home? *
Have you ever administered medication to a sick animal? *

Yes No
Please explain: *
Legal Information
Are you aware of any state laws pertaining to pet ownership/care? *

Yes No Somewhat
When is a good time for a home visit? *
References

Please do not use family members/relatives
Reference #1: *

First Name Last Name
Phone *

Area Code Phone Number
Reference #2 *

First Name Last Name
Phone *

Area Code Phone Number
All Finished!
By typing your full first and last name below, you are certifying that the above information is true and accurate to the best of your knowledge.
Full Name *

First Name Last Name
Should be Empty:

Foster Application

General Information

Home Information

Pet History

Foster Preferences

Legal Information

References

All Finished!