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Foster Home
Application
Your Name
Spouse/Partner's Name
Address
City
State
Zip
Occupation
Your Age
Home Phone
Cell Phone
Email Address
Name of dog you are interested in fostering?
Number of adults in home
Number of children in home
Ages
Are any family members allergic to dogs?
Do you own or rent your home?
Own
Rent
If renting, we will contact your landlord to confirm you have their permission to have a dog.
Landlord's Name
Only required if renting
Landlord's Phone
Only required if renting
What size is your yard?
Small
Medium
Large
Is your yard fenced?
Yes
No
Your Veterinarian
Veterinarian Phone
Personal Reference Name 1
Personal Reference Phone 1
Personal Reference Relationship to Applicant 1
Personal Reference Name 2
Personal Reference Phone 2
Personal Reference Relationship to Applicant 2
Current Pet 1 Name
Current Pet 1 Breed or Mix
Current Pet 1 Age
Current Pet 1 Sex
Current Pet 1 Spayed or Neutered
Where Current Pet 1 was obtained
Current Pet 2 Name
Current Pet 2 Breed or Mix
Current Pet 2 Age
Current Pet 2 Sex
Current Pet 2 Spayed or Neutered
Where Current Pet 2 was obtained
Current Pet 3 Name
Current Pet 3 Breed or Mix
Current Pet 3 Age
Current Pet 3 Sex
Current Pet 3 Spayed or Neutered
Where Current Pet 3 was obtained
Current Pet 4 Name
Current Pet 4 Breed or Mix
Current Pet 4 Age
Current Pet 4 Sex
Pet 4 Spayed or Neutered
Where Current Pet 4 was obtained
Have all of the above dogs been given monthly heartworm prevention from your veterinarian?
Yes
No
Have all of the above pets been given the recommended annual vaccinations each year?
Yes
No
Where are the above pets kept during the day?
Your bedroom
Kitchen
Crated
Basement
Garage
Confined to one room
Porch
Fenced yard
Tied outside
Loose unfenced
Dog house
Kennel
Other
Check all that apply
Where are the above pets kept during the day?
Your bedroom
Kitchen
Crated
Basement
Garage
Confined to one room
Porch
Fenced yard
Tied outside
Loose unfenced
Dog house
Kennel
Other
Check all that apply
Previous Pet 1 Name
Previous Pet 1 Breed or Mix
Previous Pet 1 Age
Previous Pet 1 Sex
Previous Pet 1 Spayed or Neutered
Previous Pet 1 What happened?
Previous Pet 2 Name
Previous Pet 2 Breed or Mix
Previous Pet 2 Age
Previous Pet 2 Sex
Previous Pet 2 Spayed or Neutered
Previous Pet 2 What Happened?
Previous Pet 3 Name
Previous Pet 3 Breed or Mix
Previous Pet 3 Age
Previous Pet 3 Sex
Previous Pet 3 Spayed or Neutered
Previous Pet 3 What Happened?
Previous Pet 4 Name
Previous Pet 4 Breed or Mix
Previous Pet 4 Age
Previous Pet 4 Sex
Previous Pet 4 Spayed or Neutered
Previous Pet 4 What Happened?
Were all of the above dogs given monthly heartworm prevention from your veterinarian?
Yes
No
Were all of the above pets given the recommended annual vaccinations each year?
Yes
No
Why do you want a dog?
Your breed or mix preference
Why do you like this breed or mix?
Have you owned this breed or mix before?
Yes
No
How will your new dog spend its days?
Your bedroom
Kitchen
Crated
Basement
Garage
Confined to one room
Porch
Fenced yard
Tied outside
Loose unfenced
Dog house
Kennel
Other
Check all that apply
How will your new dog spend its nights?
Your bedroom
Kitchen
Crated
Basement
Garage
Confined to one room
Porch
Fenced yard
Tied outside
Loose unfenced
Dog house
Kennel
Other
Check all that apply
Will you commit to keeping and taking good care of this dog for its whole life?
Yes
No
Will you make this dog a part of your family and allow it to live in your house?
Yes
No
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