satchels_Foster18

I am interested in fostering: *

Name of animal interested in (if applicable)

Reason for fostering: *

Have you ever fostered and animal from us before? *

Yes No

When

FOSTER INFORMATION

Full Name *

First Name Last Name

Home Phone *

- Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cell Phone

- Area Code Phone Number

Work Phone

- Area Code Phone Number

E-mail *

Employer

Employer Phone

- Area Code Phone Number

Driver’s License # *

State *

Are you a full-time FL resident? *

Yes No

What other state do you reside in?

Have you ever been charged with or convicted of animal abuse, neglect, or cruelty? *

Yes No

If yes, explain

CURRENT LIVING ARRANGEMENTS

Current Living Arrangement *

Do you *

Own Rent

Landlord’s Name

Landlord’s Phone

- Area Code Phone Number

How many adults are there living in the home where this pet will be? *

How many children? *

Ages

Is anyone in this household allergic to animals? *

Yes No

Do you have a backyard? *

Yes No

Is it fenced on all sides?

Yes No

Height of fence

Type of fence

Do you have a pool? *

Yes No

If yes, is there a fence around the pool?

Yes No

CARE OF YOUR NEW FAMILY MEMBER

Will someone be home during the day with this pet? *

Yes No

If yes, who?

How many hours each day will this pet be without human companionship? *

What sort of training do you plan/are willing to provide for this pet? (crate training, obedience class, etc.) *

How do you plan to exercise this pet? *

Where will this pet be kept during the day? *

Where will this pet sleep? *

If fostering a dog, will he/she be kept

If fostering a cat do you intend to declaw him/her?

Yes No

Will this cat be

If you drive a pickup truck, would you allow this pet to ride in the back? *

Yes No

Under what circumstances would give up this pet? *

Excessive expenses Got too big Not enough time to spend with pet Too energetic/hyper Chewing Digging Biting Moving

Do you travel? *

Yes No

If yes, how do you intend to provide for this pet while you’re away?

What provisions will you make for this pet should you become unable to care for him/her? *

Are you willing to have a representative of Satchel’s Last Resort come to see where this pet will be living? *

Yes No

If no, why not

Do you understand and agree that should you be approved for a foster and it does not work out that this pet MUST be returned to Satchel’s Last Resort ? *

Yes No

OTHER PETS

Do you currently have pets? *

Yes No

If yes, please list type of animal, sex, age, if the animal is spayed/neutered, current on all vaccations and Heartworm prevention.

Animal Type, Sex, Age, Spayed/Neutered, Current on Vaccinations and Heartworm prevention

Have you had pets in the past? *

Yes No

What happened to them?

Have you ever turned a pet into a shelter? *

Yes No

If yes, please explain

Have you ever had a pet euthanized? *

Yes No

If yes, please explain

REFERENCES

Give three references (two non-family members), and veterinarian

Reference One *

First Name Last Name

Phone Number *

- Area Code Phone Number

Relationship

Reference Two *

First Name Last Name

Phone Number *

- Area Code Phone Number

Relationship

Reference Three *

First Name Last Name

Phone Number *

- Area Code Phone Number

Relationship

If you have used a vet in the past

Veterinarian’s Name

First Name Last Name

Phone Number

- Area Code Phone Number

Name and type of animal registered with this clinic

Name of owner

First Name Last Name

If you never have had a pet, please give us the name and number of the vet you are planning to use

Veterinarian’s Name

First Name Last Name

Phone Number

- Area Code Phone Number

COMMENTS

Satchel’s Last Resort reserves the right to reject any application for fostering. Applicant, by signing below, gives permission for a representative of Satchel’s Last Resort to contact references and landlord (if applicable) provided on this form, and make a home visit prior to fostering. Applicant further acknowledges that all information contained in this application is true and correct, and that any misrepresentation may result in the removal of the adopted pet if fostering is approved.

Applicant's Signature

Clear

Enter the message as it's shown *