Foster Application

Foster Application
Full name*
Street Address*
City*
State*
Zip code*
Email address*
Phone*
Tell us about your work*

Employed full-timeEmployed part-timeEmployed, but work from homeRetiredAt-Home ParentUnemployedOther
Any additional comments about work?
If applicable, please list your place of employment.
What type of home do you have? **

HouseCondo/townhomeMobile home/RVOther
Do you...*

Own?Rent from property manager?Rent from family/friends?Live with parents?Other
If you rent or have a homeowner's association, are there any size or breed restrictions? Please describe.
If you rent, have you determined if a pet deposit (or additional deposit) is required?

YesNoOther
If you rent, please provide your property manager's name and contact information. Include email address (preferred) and phone number.
Is your yard fully fenced? *

YesNoOther
If your yard is fenced, please describe height and type.
If your yard is not fenced, how do you plan to handle exercise and toilet duties?
How many adults live in your home and what are there ages?*
How many children live in your home and what are there ages?*
Have you ever fostered before? *

YesNoOther
How long can you commit to care for this dog?*
Do you have any travel plans we need to work around? Please provide dates.*
How many hours, on average, will the dog spend alone?*
Where will the dog be when you are at home?*
Where will the dog be when you are away?*
Where will the dog spend the night?*
How would you discipline the dog?*
Do you need us to provide heartworm preventative?*

YesNoOther
Do you need us to provide flea preventative?*

YesNoOther
Do you need us to provide a crate?*

YesNoOther
Are all of your pets spay/neutered?*

YesNoOther
Do you need us to provide any other supplies?*
How many other pets are in the home? Please provide name, kind, breed, sex and age of each.*
Please list veterinarian(s) used for current/former pets. Include email address (preferred) and phone number.*
Please list a personal reference, not related to you. Include email address (preferred) and phone number.*
Please list all pets you have owned in the past 5 years (other than above), as well as what happened to each.*
Have you ever given a pet up for adoption or put one to sleep? Please explain.*
Is there a specific dog seen on our site or a particular breed/size/sex/age you would be interested in?*
Is there a specific breed/size/sex/age you would NOT be interested in.*
Would you be willing to accept a dog with some health problems (e.g., undergoing heartworm treatment)?*

YesNoOther
Would you be willing to accept a dog with some behavior problems?*

YesNoOther
Would you be willing to take dog to training classes?*

YesNoOther
Would you be willing to take dog to adoption events?*

YesNoOther
In submitting this form, I acknowledge Doggie Harmony retains the right to remove a foster dog from my care at any time. This form also provides for the release of liability of Doggie Harmony and its volunteers on account of the actions of any dog of any breed, which has been released into the ownership of Doggie Harmony and placed into the care of you, as the Foster Care Provider.

I UNDERSTAND AND AGREE that I am responsible for the safety of each foster dog that comes into my care, for the safety of other dogs and people the dog comes into contact with.
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