Foster Application form

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you:

If Renting please list landlords name and phone number:

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Are all members of your Family agreeable to Fostering an animal?

Describe the Activity Level in your Home

Do you have a fenced in yard?

Describe the type of fence and height.

Does Anyone in your Household have Allergies to Animals?

Please ALL pets you currently have residing in the home. Please include Name, Breed, Age, Altered (if not why), and if UTD on vaccines.

Would you be willing to have a Animal Advocates Coalition Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you have a preference in the sex of foster?

Are you willing to foster an animal of any age?

If not, what age would you consider?

What size animal are you willing to foster? (Check all that apply)

Please list any type of animal that you are unable to foster and why (breed, coat lenght, sex, age, size).

Are you willing to take your foster dog to vet appointments at a convenient time for you?

If No please explain

Are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative?

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Have you had any experience with with an emotionally or physically neglected or abused animal?

If Yes please explain

Are you willing to use a crate for a animal if recommended?

How many hours in a day would the foster be left alone?

Describe where the foster pet will be kept during the day and at night.

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

Please list 2 personal references who are familiar with you and your pets.

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Animal Advocate Coalition animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Animal Advocates Coalition and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release Animal Advocates Coalition from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have Animal Advocates Coalition complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the animal(s) anymore that I will return the animal(s) to Animal Advocates Coalition and try to give Animal Advoacates Coalition a 2 week period to try and find another suitable foster for the pet(s).

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Your name

Animal Advocates Coalition, Inc. Foster Application