FOSTER PARENT APPLICATION FORM
Adopt-A-Pet Ph: 360-432-3091 E-mail: foster.aapwa@gmail.com | www.adoptapet-wa.org
Foster Parent (this person must be over 18 years of age)
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
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example@example.com
Phone (home)
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-
Area Code
Phone Number
Phone (cell)
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Area Code
Phone Number
Co-Foster Parent (i.e. spouse, partner, roommate)
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First Name
Last Name
Co-Foster Email
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example@example.com
Co-Foster Phone
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-
Area Code
Phone Number
How did you learn about the Adopt a Pet Foster Program?
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Have you previously volunteered at Adopt a Pet
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Current Volunteer
Former Volunteer
No
If you are/were an Adopt a Pet volunteer, in which program did you participate?
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Describe the type of experience you have with dogs and the length of time of experience (e.g. companion pet, training classes, showing, breeding, dog sports, etc)
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If you have completed training classes, please list the type of class and trainer/business
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Have you fostered dogs before?
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Yes
No
If you have fostered before, for which organization(s) and what types of dogs?
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Other than the simple love of dogs, please tell us why you are interested in fostering a dog
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Do you have experience working with dogs with behavioral issues?
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Yes
No
Check all topics you have experience in. Check all that apply
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Crate Training
Anxiety/Shyness/Fear
Separation Anxiety
Chewing
Behavioral Issues
Leash Aggression
House/Potty Training
Reactivity
Digging
Barking
Climbing
Nipping
Jumping
List any other adults in your household and their relationship to you (e.g. roommate, spouse/partner, parent)
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Are there children in your household?
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Yes
No
What are the ages of the children in the household?
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Is everyone in your household agreeable to fostering a dog?
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Yes
No
List any regular visitors that may come into contact with your foster dog
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What type of residence do you live in?
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Apartment
Condo
House
Townhouse
Detail any dog restrictions your place of residence may have (i.e. weight/breed restrictions)
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Do you have a secured fenced yard?
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Yes
No
If yes, approximately what height is the fence?
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3 feet
4 feet
5 feet
6 feet or higher
No Fenced Yard
What material is the fence?
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Wood
Iron
Wire
None
Do you have any dogs in your household now?
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Yes
No
describe the dogs in your home (name, breed, gender, age, whether they're spayed/neutered and vaccination status
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Are all dogs accepting of new dogs in their home?
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Yes
No
Can your dog be separated from your foster dog when you are away from the home?
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Yes
No
Do you have any cats in your home?
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Yes
No
Other than dogs and cats, do you have any other animals in your home?
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Yes
No
If so, what types?
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How many hours per day will your dog be without adult care?
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Where do you plan on keeping your foster dog?
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How will you exercise your foster dog? (for example: walk, bike, hike, backyard play (NOTE: dog parks are not allowed)
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What size foster dog are you willing to foster? check all that apply
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Small
Medium
Large
What age foster dog are you willing to foster? check all that apply
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Puppy ( < 6 months)
Young (6 mos-1.5 yrs)
Adult
Senior
What energy level are you willing to foster? check all that apply
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Low
Medium
High
Are you willing to foster a special needs dog?
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Yes
No
If yes, check all that apply
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Medical care
Blind or deaf
Pregnant
None
Do you prefer to foster a specific type of dog? If so, what?
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Are there any types of dogs you are unwilling to foster? If so, what?
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A dog may be in foster for several months, are you able to foster for an extended length of time?
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Yes
No
If no, please provide more information on your availability
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Would you foster a dog that is not house broken?
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Yes
No
Maybe
Would you foster a dog that needs training or has behavioral issues?
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Yes
No
Maybe
Would you foster a puppy or litter of puppies?
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Yes
No
Maybe
Would you foster a dog with kennel cough?
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Yes
No
Maybe
Can you accept the fact that some animals will not survive and that all decisions re: medical treatment will be made by Adopt a Pet staff?
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Yes
No
Do you understand anyone interested in adopting your foster dog (including yourself) must go through the standard adoption process and approval of candidates and placement of animals is up to Adopt a Pet staff (of course, we welcome your referrals)
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Yes
No
Do you acknowledge that a home visit and orientation session are required prior to being accepted as a foster parent?
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Yes
No
By checking the following box, I agree that I have answered the questions above truthfully and completely, I understand that although Adopt a Pet takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the animals' health, behavior or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which Adopt a Pet has asked me to provide care. I indemnify and hold Adopt a Pet free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement
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I AGREE
Signature
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Today's Date
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-
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