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Foster Application

Foster Questionnaire


Contact Information

Names of all adults in the household:
Address:
City:
Home phone:
State:
Zip:
Email:
 Age: Over 21 YesNo

References

Three Personal References including your veterinarian (Name, relationship and phone number):
1.
2.
3.

Foster Care Information

Gender: MaleFemaleNo Preference Reason for gender:
Breed/mix:
Why are you interested in this breed/mix?:
 Have you owned this mix/breed before?  Yes No
 Size/Coloring/Temperament:
Why do you want to foster a dog?:
We understand that people who want to foster are also those who love dogs and develop bonds with them. Will you be able to allow a dog you have fostered to go to new owners when an adoptive home is approved?  YesNo

Pets, children and home information

Please tell us about the dogs or cats do you presently own? (Specifically: How many? Dog or cat Breed / mix Sex Age Spayed/neut? Where obtained?)
Dogs:
Cats: 

Are all of the above pets given monthly heartworm prevention from your veterinarian? Yes No
Have all the above pets been given the recommended annual vaccinations each yearYesNo
Have you owned dogs or cats in the past?  YesNo
If yes, please list: Dog or cat Breed / mix Sex Age Spayed/neut? Describe what happened to pet:
Do you have children?YesNo Any behavior problems? If so, describe:
Have they had dogs?
Number of adults:
Do you own or rent your home?:
If you rent, do you have permission from your landlord to have a dog?
Landlord’s name:

How do your current dogs spend their days? (select all that apply) 
 Apartment Condo House Trailer
Live with Relative
Any community restrictions on dogs? (please explain):
How do your current dogs spend  their days (select all that apply):
Please describe how a foster dog will be kept during the day and at night:
If you have a particular dog that you are considering fostering please type his/her name here:

 
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