Form
Midwest Dog Rescue Network Foster Care Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Have you ever provied a foster home for an animal before?
What level of foster home are you comfortable providing
Please Select
Emergency (overnight)
Short term (up to a week)
Long term (as long as it takes)
Are there any characteristics you would not want to deal with in a foster dog?
Do you have any experience with dogs that snap or bite? What would you do if your foster snapped or bit
Do you have any special training or experience working with dogs?
Are you able to housetrain a dog or administer medication
Are you aware that some rescue dogs have house soiling or behavior issues and may require constant supervision, such as staying on leash in the house to eliminate old behavior patterns?
Is anyone home during the day? Who and for how long? If not, what hours would the dog be along? Where will a foster dog stay during the day, while you are at work or away from the home?
Who lives in your home? (all adults and children, with ages) Residence Info:
What type of home do you live in?
House
Apartment
Condo/townhome
Moblie home
Do you rent? If you rent please provide landlord name, number and email
Do you have a yard for the dog to use? Is it fenced on all sides? Please describe type of fence.Is it escape proof for a toy-size dog? (check areas along bottom of fence, at gate openings, and between spaces of wooden pickets/slats).Is the area where you live and your backyard, safe from predators (birds of prey, foxes, coyotes, etc.) or can you stay with a dog while it is eliminating outside?
Please describe your home life:
Busy household - i.e., visits by friends, in and out a lot, children, parties at home, etc.
Noisy – i.e. TV, stereo, machinery, tools, children playing, dogs barking
Moderately active household – i.e. normal comings & goings
Quiet household – i.e. home most of the time, few guests, no children, quiet pets.
Lots of children in the neighborhood
Live on a busy street
Family Pet(s) Info:Please tell us about ALL your current pets: Breed/species. Age Spayed/Neutered? Indoor/Outdoor? Personality/Temperament?
If your current or previous pets are not spayed or neutered, please explain why?
If you have dogs, are they completely housetrained?
Are you pets current on vaccinations and Heartworm prevention
What supplies do you have on hand for a foster dog?
Crate
Leash & Collar
Brush & Combs
Nail Clippers
Exercise Pen
Other
Name, address, and phone number of your Veterinarian:
Submit
Should be Empty: