Foster Application
This application is not to approve or deny but more of an information collecting item for the rescues in our Extended Rescue Program. Please be thorough and fill out all parts of the form. This form will be forwarded to our affiliated rescues. Thank you and we hope to place you with a dog soon!!
What dog are you interested in? *
Kingston
Courage
Nyla
Full Name*
Phone Number*
Address(complete with city and state) *
Email*
Age of potential foster?*
Date of Birth
Do you rent or own your current residence? *
Rent
Own
What type of residence do you live in?*
Landlord Name (if applicable)
Landlord phone number (if applicable)
Do you have plans to move in the near future?*
Yes
No
If yes, please provide explanation.
What is your primary mode of transportation?*
Number of adults in the house and their relationship to you.*
Number of children in the house *
Have all members of the household agreed to obtaining a dog?*
Yes
No
Do you currently have another pet in the house?*
Yes
No
If you don't currently own a pet, please provide the name and phone # of the vet you wish to use for a new pet. *
Current Pet #1- Name, Age, and Breed
Have you had pets previously?*
Yes
No
How long did you have this pet?*
Why do you no longer have this pet?*
Have you ever been issued a citation or had to reclaim your pet from animal control or the shelter?*
Yes
No
Have you ever given up a pet?*
Yes
No
Veterinarian dog will be going to?*
Veterinarian phone number:*
Veterinarian address:*
In case of emergency do you have a 24/7 pet hospital? *
YES
NO
24/7 Pet hospital phone number:
24/7 Pet hospital address:*
What amount of time will your dog be left alone?*
When you are NOT home, where will your dog be kept?*
When you ARE home, where will your dog be kept?*
Do you plan to crate the dog?*
If yes, please explain when the dog will be crated. If no, please describe in detail where the dog will be when you are not around.*
How much time would you allow your dog outside unattended?*
Do you have a fenced in yard?*
Yes
No
Under what circumstances would you give up a pet?*
Are you prepared for a potential 1-2 year commitment?*
Yes
No
Can you afford vet costs that come with owning a pet. Emergency costs?*
Yes
No
Personal reference #1 *
Personal Reference #2 *