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.