foster application

 

Name: 
Street Number: 
City:  State:  Zip: 
Home Phone: 
E-Mail: 
Occupation:  Work Phone: 
Personal Reference: 
Phone:  Years Acquainted: 

Do you:
Own  Rent
Do you have a fenced yard?:
Yes  No
If no, how will exercise/toilet be handled?

How many adults in home?
How many children in home?
Childrens' ages

Do you own any other dogs?:
Yes  No
Please Tell Us About Your Current Dog(s):

DOG#1
Breed: Age: Sex:
Is This Dog Spayed/Neutered?  Yes  No
If NO, Why Not?
When Was This Dog's Last Heartworm Test?

Where does this dog spend most of each day?

DOG#2
Breed: Age: Sex:
Is This Dog Spayed/Neutered?  Yes  No
If NO, Why Not?
When Was This Dog's Last Heartworm Test?

Where does this dog spend most of each day?

DOG#3
Breed: Age: Sex:
Is This Dog Spayed/Neutered?  Yes  No
If NO, Why Not?
When Was This Dog's Last Heartworm Test?

Where does this dog spend most of each day?
What Brand of Heartworm Preventative Do You Currently Use?

Do You Own Any Other Pets or Livestock?
Yes  No

Please tell us about your other pets:

Are they spayed/neutered?
Yes  No
If no, why?

Who is your veterinarian?

Phone:


How many dogs have you owned in the last 5 years?

What happened to your last dog?

Have you owned a boxer before?
Yes  No

Where will dog spend most of each day?

Where will dog sleep?

How many hours will dog be alone each day?

Have you ever fostered a dog for any humame or rescue organization before ? 

Yes  No

If yes, for whom ?

If yes, what breed?

Are you willing to foster an older dog?
Yes  No 
Are you willing to foster a dog requiring special care?
YesNo

Can you foster?
Short termLong termDoesn't matter

Do you have a crate available?
YesNo
Please tell us any other information about yourself, your family or your animals that you think would be helpful to us:

What is your main goal to be achieved by becoming a member of our rescue group?

Do you have any special skills (public speaking, writing, record keeping etc.) that you would like to volunteer in addition to fostering?

Do You Agree to the Following:

Allow a rescue agent to visit your home prior to approval?
Yes  No

 

 

 

 

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