Original Foster Form

Dog(s) you are interested in fostering:
First Name *
Last Name *
Email *
Home Address *
City *
State *
Zip Code *
Home Phone *
Work Phone
Cell Phone
Best Time to Call
Are You Over 21 Years Old? *
Hours Worked Per Week *
Number of People Living in Household *
Is everyone living in the household in agreement about Testing the dog? *
Members of Household: Please list names, relationship and age. *
Do you anticipate any changes in your household in the next year? Check all that apply.
What plans would you have for the dog if any of the above circumstances occur?
Please list any current pets you have, name, type, age, spayed or neutered, length of time owned and if they are current on vaccinations?
What brand of heartworm prevention are your current dogs on?
Do your other pets get along with dogs?
Are you willing to have your current dog(s) meet the new dog?
Have you had any other pets in your adult life?
If yes, how long did you own them and what happened to them?
What kind of traits are you looking for in a dog?
What do you consider undesirable traits?
What breed / mix do you prefer?
Do you have prior experience with these breeds during your childhood or as an adult? If yes, please explain:
What is the approximate adult weight of the dog you are looking for?
What is the activity level of the dog you are looking for?
What gender do you prefer?
Reason for gender preference?
Would you be willing to house train / crate train your foster(s)? *
Do you need for your foster to be good with children? *
What type of home do you live in?
If other, please explain:
Do you own or lease? *
If leasing, do you have permission to have a pet? (Proof of pet deposit and / or landlord approval will be required)
If leasing, are you aware of any pet restrictions?
If yes, please explain:
Landlord Name
Landlord Phone Number
What training are you interested in doing with the dog?
Is your yard completely fenced? *
If yes, what type of fence is it? Check all that apply:
If other, please describe:
What is the height of the fence?
What is the size of your fenced yard?
Do you have a swimming pool?
Whose responsibility will it be to feed, water and care for the dog?
How many hours a day do you plan to share with the dog?
What activities do you plan to share with the dog?
Where will the dog be kept during the day? Check all that apply:
If other, please explain:
Where will the dog be kept at night? Check all that apply:
If other, please explain:
Who will care for the dog when you travel or problems occur that make you unavailable?
How will you transport the dog?
What brand of food will the dog eat?
At minimum the dog will require a yearly vet exam and vaccinations. Often dental care and other procedures may be required. Are you committed to this level of care for the entire time you foster?
There are times when unexpected and often very expensive medical conditions occur. Are you committed to providing whatever medical care the veterinarian deems necessary for your foster?
Veterinarian
Veterinarian’s Phone Number
What will you do if the dog displays bad behavior such as barking, digging, chewing, etc?

A home visit and a vet reference check (if applicable) will be done before a dog is placed in your home. By clicking the SUBMIT button I certify that all of the information given above is correct, that all of my animals are currently vaccinated and my dogs, if any, are on monthly heartworm preventative. I agree to treat this dog as my own and keep it safe from harm.