Foster Application for Dogs

Full Name*

First NameLast Name

Date of Birth:*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home*

Area CodePhone Number

Phone Number - Cellular*

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Drivers License #*

State*

Expiration Date:*

Occupation

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information*

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

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering a Dog?*

YesNo

Have you or any members of your immediate family ever been charged with cruelty to animals? *

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)*

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?*

MaleFemaleNo Preference

Are you willing to foster a dog of any age?*

YesNo

If not, what age would you consider?*

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

SmallMediumLarge

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

YesNo

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

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?*

YesNo

If Yes please explain*

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

YesNo

Any pets? (breed, size, age and temperament)*

Do you have a fenced yard?*

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?*

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

Where will the pet be kept when you are away?*

Would this pet be an inside or outside animal? *

Have you ever done obedience training?*

YesNo

Reason for wanting/fostering a pet? *

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

Are you willing to have a home visit by a representative?*

YesNo

Have you ever fostered or applied to Foster with another rescue group? If so with who?*

Fostering Period of Time*

Long-termShort-termSpecial NeedsEmergency

Please list 3 References (Name, Phone Number, Relationship and Length of time known):*

Comments/Concerns:

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 Paws Crossed animal fostered by me.

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

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

I agree to have Paws Crossed complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Paws Crossed and try to give Paws Crossed a 2 week period to try and find another suitable foster for the dog(s).

Date

MonthDayYear

Your name*

Co-Applicant name (if applicable)

Enter the message as it's shown*

Thank you for your interest! A Paws Crossed representative will reach out to you soon!

Paws Crossed Foster Application