Foster Application for Dogs

Full Name

First NameLast Name

Age

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

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

Describe the Activity Level in your Home

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

Does Anyone in your Household have Allergies to Animals?

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

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

Would you be willing to have a Orphaned Pet Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

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?

Are you willing to foster a dog of any age?

If not, what age would you consider?

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

Are you willing to take your foster dog to vet appointments at a convenient time for you?

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

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

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

Do you have a fenced yard?

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?

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

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MonthDayYearHourMinutesAM/PM Option

Your name

Co-Applicant name (if applicable)

Number

Full Name

First NameLast Name

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 Orphaned Pets Inc. animal fostered by me.

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

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Orphaned Pets Inc. and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

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

I agree to have Orphaned Pets Inc. 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 Orphaned Pets Inc. and try to give Orphaned Pets Inc. a 2 week period to try and find another suitable foster for the dog(s).

Orphaned Pets, Inc. - Foster Application

Please tell us as much as possible about your home and family so we can match the right pet to your environment.