Foster Application

Pulled From The Pits

17 Lower Rd, Minot, Maine 04288 - (207)740-8229 pulledfromthepits1@gmail.com
This foster application is designed to help Pulled From The Pits and yourself determine if a specific dog is the right one for you and your household.
Full Name *

First Name Last Name
Date Of Birth: *
Drivers License State and Number *
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number - Home *

Area Code Phone Number
Phone Number - Cellular *

Area Code Phone Number
Phone Number - Work *

Area Code Phone Number
Do you live in a: *
Do you: *

Own Rent Live with Parents Other
If Renting: Please indicate landlord contact information
Household Setting

Rural City
Describe the Activity Level in your Home

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *
Does Anyone in your Household have Allergies to Animals? *

Yes No
Are all members of your Family agreeable to Fostering a Dog? *

Yes No
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Spay/neuter status, Sex, Up to date on Vaccines, medical conditions, Living/Deceased) *
Would you be willing to have a PFTP Team Member call your veterinarian for a reference check? (Please call your vet to authorize them to speak to us in regards to a reference check) *

Yes No
Veterinarian Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
Do you have a preference in the sex of foster? *

Male Female No Preference
Are you willing to foster a dog of any age? *

Yes No
If not, what age would you consider?
What size dog are you willing to foster? (Check all that apply) *

Small Medium Large
Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes *
Are you willing to take your foster dog to vet appointments at a convenient time for you? *

Yes No
If No please explain
If yes, Do you have reliable means of transportation

Yes No
Are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative? *

Yes No
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience? *

Yes No
Have you had any experience with with an emotionally or physically neglected or abused dog? *

Yes No
If Yes please explain
Are you willing to use a crate for a dog if recommended? *

Yes No
Do you have a fenced yard? *

Yes No Partial
If fenced, please give details on height, material, # of gates, are gates locked or lockable?
How many hours in a day would the foster be left alone? *
What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility *
Date and Time: *

Month Day Year Hour Minutes AM/PM Option
Co-Applicant name (if applicable)
Signature *

Clear
Should be Empty:

Pulled From The Pits