Foster Application

Date*

Date

Name*

First NameLast Name

Email Address*

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Date of Birth*

Date

Driver's License Number*

Adults in the household aside from you:*

Are there children in the home? (If yes, please list ages)*

If you answered "Yes" to the above question, please provide detail:

Do you own or rent your home?*

OwnRentLive with FamilyOther

If you rent, what is your landlord's pet policy?*

If you rent, please provide your landlord's information here:*

Type of Housing*

HouseCondoApartmentOther

Do you have a yard?*

YesNo

If "Yes" to the above, is it fenced? please describe

Do you own any pets?*

Pet Name(s)

Pet Breed(s)

Have all your current pets been spayed or neutered?

YesNo

If no, please explain:

Dates and types of most recent vaccinations:

Pet's disposition and behavior towards other dogs?

Please provide your veterinarian's name and phone number:

Have you ever surrendered a pet you own to any animal shelter including a "low" or "no kill" shelter?*

YesNo

If you've never owned a pet before, please describe your experience with animals.*

Have you ever fostered before? If so, please decribe your experience*

How many hours per day would the pet be alone?*

Where will the dog be kept at night and during the day when you're not home?*

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, unruly leash behaviors in your pet?*

Please provide the name, email, and contact number for a personal reference:*

Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo

If you answered "Yes" please provide a detailed description:

By clicking the submit button, I agree to Weezer's Warriors' screening process which includes a homecheck and interview at the discretion of Weezer's Warriors.
By clicking the submit button, I understand that Weezer's Warriors will check my references including veterinary, landlord, and personal.
By clicking the submit button, I agree to indemnify and hold harmless Weezer's Warriors against any losses, lawsuits, claims, injury, damages incurred by me or to any persons or property by my foster pet.
By clicking the submit button, I verify all of the above information is true and accurate.

Signature of Potential Pet Parent*