Foster Application
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
-
Area Code
Cell Phone
Email
example@example.com
Type of Dwelling
Single Family Home
Condominium
Apartment
Townhouse
Fenced Yard?
Yes
No
Who lives in your household, including pets? How old is each of your pets? Foster family children must be 12 years or older.
Where do you plan to keep the dog when you are away during the day?
How many hours a day are you away from home?
Would you use a dog walker if you are away for more than 4-5 hours?
Yes
No
Can you commit to fostering the dog for a minimum of 2-3 weeks (the minimum amount of time it takes to evaluate behavior and health issues) and up until the time of adoption?
Yes
No
Can you commit to bringing the dog to its adoption in North Potomac MD?
Yes
No
Would you be able to bring the dog to and from a grooming appointment in Vienna VA and afterwards for website photos in Fairfax VA?
Yes
No
Would you be able to take the dog for vet appointments in Purcellville on a weekday? There are no evening or weekend appointments.
Yes
No
What circumstances would make you not want to foster?
Excessive barking
Separation anxiety
"Accidents"
Disciplinary problems
Socialization problems
Food aggression
Resource guarding
None of These
Do you have a vacation or time away scheduled in the near future?
Yes
No
When?
If you answered Yes to the above question about time away.
Foster's Signature
Please type your name
Application Date
-
Month
-
Day
Year
Date
Submit
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