Foster Care Application
Date
-
Month
-
Day
Year
Date
Foster Parent's Full Name
Email
example@example.com
Address
City
State
ZIP Code
Employer's Company Name
Home Phone #
Work Phone #
Are you a part of any animal organization?
Yes
No
If YES, which one?
Why would you like to foster?
Do you live in a...
Condo/Townhome/Duplex
Single-Family Home
Apartment
Mobile Home
Do you...
Rent
Own
If you rent, is your lease...
Yearly
Monthly
If you rent, what is the name of your landlord/complex?
If you rent, what is your landlord's/complex's phone number?
If you rent, how long have you been at this address?
If you rent, please attach a copy of the pet policy of your residence.
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How many adults reside at your address?
Are there children in your home?
If you have children, how many and what are their ages?
Would there be anybody home during the day?
Do you have any pets in your home now? Y/N
If YES, please list their Age, Breed, and Sex
If you have pets, are they licensed and fully vaccinated?
If you have pets, are they spayed/neutered?
If you have pets, please provide your current vet's phone number for reference.
Approximate date of your last vet visit?
Have you had other pets in the last five years?
If YES, please list their Age, Breed, and Sex
What happened to your previous pets?
Which animal hospital/clinic do you (or did you) go to?
Where will the foster animal be when nobody is home?
Where will the foster animal sleep?
Do you have a fenced-in yard? If yes, full/partial?
Please list 2 non-family references: Name and phone number.
Initial below if you agree that all of the information which I have given above is correct as written, and I authorize the Prairie Paws Rescue to verify any information.
Initial below if you certify that your own pets are currently licensed and up to date on his/her vaccinations, including rabies.
Initial below if you agree to keep your pets separated from the foster animal for at least 10 days. If the foster animal is incubating any diseases. This separation will minimize the chance of your pets becoming ill.
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