2nd Hand Paws Foster-App

2nd Hand Paws Animal Rescue

Adoption Application
Dog's name
Today's date
Name

First NameLast Name
Email
example@example.com
Date of birth
Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
County
Phone Number

Area CodePhone Number
Employer's name
Employer's phone number
Do you live in a:

HouseCondoApartmentMobile homeTownhouseOther
Do you:

OwnRentLive with family
Property owner or landlord's name:
Property owner or landlord's phone number:
Are you a first time pet foster?

YesNo
Is everyone in your house agreeable to getting a foster pet?

YesNo
Please tell us about each of your pets over the past five years. Include their name, breed, if they were spay/neutered, and age:
If you no longer own any of these pets, please tell us why:
Veternarian's name:
Veterinarian's phone number:
Who will be the primary caretaker for your foster animal?
Are there children living in or visiting your home?

YesNo
If yes, please list their ages:
How many adults reside in the home?
Does anyone in the home have allergies to pets?

YesNoUnsure
If yes, who and how do you plan to deal with this?
Where will your new foster spend the majority of it's time?

InsideOutside
Where will your new foster be kept when you're not home?

Loose insideIn a crate insideIn a fenced backyardOutdoor kennelTied to a dog houseOn a chainOther
Is your yard fenced?

YesNoPartially fenced
Type of fencing:
How high?
How much time will your foster spend alone each day/night?
What reason would cause you to give up the foster?
My new foster should get along with:

DogsCatsKidsSmall animalsFarm animalsOther
Do all household members understand that it takes time for a pet to adjust to a new environment?

YesNo
Are you willing to tolerate accidents while the dog adjusts to his or her new home?

YesNo
What kind of solutions would you be willing to try if housebreaking accidents continue after two weeks?
Would you object to our verifying any of the information you have provided on this application?

YesNo
Would you object to us visiting your home prior to fostering?

YesNo
In the last year, has a dog or puppy died on your premises or distemper, Parvo, or unknown causes?

YesNo
Please list two personal references, including their name, address, phone number, and their relationship to you:
All of the information I have given is true and complete.

I hereby understand and agree that 2ND HAND PAWS ANIMAL RESCUE makes no representations or warranties, expressed or implied, about the above mentioned animal's temperament. I also understand and agree that 2ND HAND PAWS ANIMAL RESCUE further gives no guarantees, expressed or implied, of the suitability of the animal to the foster home or family. By clicking submit on this application I understand that I am giving electronic confirmation of all information on this application.
Should be Empty:

2nd Hand Paws Animal Rescue