MO Min Pin Foster Application
Your honest response to these questions will aid us in matching you with the foster animal most suitable for your home.
Name
*
First Name
Last Name
Your Age
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Phone #
*
-
Primary Phone Number
Secondary Phone Number
Do you accept text messages?
*
Yes
No
E-mail
*
Please make sure this is correct!
Do you have a personal Facebook page? Name or URL it's under?
*
Do you rent or own your home?
*
Rent
Own
Other
If rent, what is the name and phone number of your landlord?
*
Does your landlord allow pets?
*
Yes
Yes, with restrictions
Not sure
No
N/A
How many adults/children in your household? Please include ages of any children.
*
How many pets currently in the home? Please list species, breed and age if known.
*
Are your pets up to date on vaccines?
*
Are your dogs on heartworm preventative year round?
*
Yes
No
Are all pets in your home spayed/neutered?
*
Yes
No
What is the name and telephone number of your veterinarian?
*
Does everyone in the home agree to fostering/adopting?
*
Yes
No
Do you have a fully fenced-in yard?
*
Yes
No
If you don't have a fenced-in yard, how will you supervise your dog outside?
*
How will your foster dogs be confined when you are not at home?
*
Approximately how many hours away from home will you be every day?
*
Do you have reliable transportation to transport the dog to the vet, etc.?
*
Yes
No
Do you understand that once we place a dog in your home as either a foster or foster to adopt, he or she stays until adopted? Barring any unforeseen circumstances that can't be sorted out. (Aggression toward humans or other animals in the home, etc.) Potty training is not one of those reasons!
*
Yes
No
Do you prefer to foster/foster to adopt a male, female, or no preference?
*
Male
Female
No Preference
Specific dog
Other
If you are asking to foster a specific dog, what is that dog's name or description?
*
Are you willing to foster/adopt any of the following?
*
Seniors
Puppies
Pregnant dogs
Heartworm positive dogs
Dogs with medical conditions that may require daily medication such as diabetes?
Other
How did you hear about MO Min Pin Rescue?
*
I will return all pets to MMPR should I no longer be able to foster. I agree to give at least one week notice if I must return a foster animal.
*
Yes
I will immediately report top MMPR any dog that is lost, stolen, ill, or dies while in my care. Should my foster dog need medical attention, I will use only a veterinarian specified by MMPR. All veterinarian visits must be approved by the rescue.
*
Yes
I will provide regular updates to the foster coordinators. I understand that an MMPR has the right to review the care given to all foster animals and remove any animal from a foster home if necessary. Upon cessation as a foster home, I agree to surrender any and all properties belonging to MMPR
*
Yes
I agree to abide with the MMPR FOSTER HOME GUIDELINES, and understand that all foster animals must be adopted through the MMPR adoption procedures only.
*
Yes
I agree that I will not hold MMPR responsible for damages, illness, or injuries, which may occur while fostering a pet(s).
*
Yes
I understand that as a foster parent, I get first chance at adopting the foster dog. I also understand that unless previous arrangements have been made, I am expected to pay full adoption fees.
*
Yes
By submitting this application I understand that all foster dogs are the property of MO Min Pin Rescue and, should it become necessary, I/we will relinquish the foster dog back to a representative of MO Min Pin Rescue.
*
Yes
Submit
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