Foster Application for Dogs

Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Best way to reach you?

PhoneEmail

E-mail*

Phone Number

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

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

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to Fostering a Dog?

YesNo

Please List any Pets you have Living and if they are UTD on vaccines and/or fixed?

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

YesNo

If No please explain

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

YesNo

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

YesNo

If Yes please explain

Do you have a fenced yard?

YesNoPartial

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

Please agree to the following foster guidelines below:

I will not take my foster outside of my home unless it is to a vet visit

I agree

I will not take my foster to the beach or dog park because my foster is not fully vaccinated

I agree

I will not give my foster any medications without approval from the rescue

I agree

I agree to let a member of the CSR team know if any issues health or behavior related while foster is in my care

I agree

I agree to let a member of the CSR team do a wellness check on my foster pup

I agree

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

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 CSR 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 CSR from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to CSR and try to give CSR a 48 hour period to try and find another suitable foster for the dog(s).

Your name*

Signature