Foster Application form

How did you hear about Seattle Dogs?

Full Name*

FirstLast

Age

E-mail*

Address*

Street Address

CityState / Province

Postal / Zip CodeCountry

Phone- Home or cell

Area CodePhone Number

Phone - Work

Area CodePhone Number

Do you live in a:

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Describe your Homes Activity Level

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household include Name, Relationship 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 in the home (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)*

Are you willing to foster a dog of any age?

YesNo

If not, what age would you consider?

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

SmallMediumLarge

Are you willing to take your foster dog to vet appointments?

YesNo

Do you drive or have access to a vehicle if needed?

YesNo

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

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

YesNo

Do you have a fenced yard?

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable and photograph area?

Take Photo

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

Seattle Dogs does not allow our dogs to be taken to dog parks or any other off leash areas. Please type initials to indicated read

Vet Reference: *

Vet Name

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list 3 personal references with names, addresses, phone numbers and relation Only 1 maybe a relative

Reference #1: Full Name*

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Relation to applicant(s):

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference #2: Full Name*

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Relation to applicant(s):

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference #3: Full Name

First NameLast Name

Phone Number

Area CodePhone Number

E-mail

Relation to applicant(s):

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I understand my application 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 SEATTLE DOGS HOMELESS PROGRAM rescue animal fostered by me.

I certify that the above information is correct. I understand that the information will be verified and agree to have SEATTLE DOGS HOMELESS PROGRAM complete reference checks and conduct a home visit inspection to be able to approve my foster application.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless SEATTLE DOGS HOMELESS PROGRAM and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the dog(s). I accept full responsibility for the dog(s) actions at all times, and release SEATTLE DOGS HOMELESS PROGRAM 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 SEATTLE DOGS HOMELESS PROGRAM during the hours of 10-4 excxept Sundays and I expect to give 48 hours period to take back the dog

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

Take Photo

Date

MonthDayYear

E-Signature*