E-mail Address: *
Todays Date: *
Name: *
Complete Address: *
Home Phone: *
Alternate number (cell or work): *
Do you own your residence?: *Yes
No
If no, are you permitted pets?: *Yes
No
Are there any restrictions on size or number of pets you can have? please explain: *
Do you have a fenced yard? (Fence not required): *Yes
No
Other members of the household and frequent visitors, (include number and ages of any children): *
Other household pets (list species, breed, age and sex) *
Are all other pets in the household spayed/neutered and up to date on vaccinations? *Yes
No
If no, please explain:
What pets have you had previously and what happened to them?: *
What is your household activity level: *
Number of hours you are away from home during an average weekday: *
Describe the amount and kind of exercise the pet would receive: *
Where would the pet say during the day? *
During the night? *
Describe your level of experience/knowledge of dogs *
Have you ever fostered before? if so, please explain *
Who would have primary responsibility of caring for the dog? *
Please summarize any strong preferences, or oversions, as to breed size, sex, fur length, nature of special needs dogs etc. Please be specific, this will help us match you up with your foster. *
Please describe any experience with special needs dogs, (elderly, health or behavior problems) *
Please describe your availability to foster, (long term, temporary, any vacations coming up etc) *

* Required