Date:

Your name Age(s):

Address: City, State Zip:

Home Phone: Work Phone:

E-Mail:

What kind of pet would you like to foster?

Dog:
Breed
I am willing to foster (mark all that apply): pregnant puppy adult senior small midsize large

Cat
I am willing to foster (mark all that apply): pregnant kitten adult senior

Is this your first experience with a pet? No Yes

List any pets you have now:

Are all of the pets currently in your household spayed/neutered? No Yes

Are all your pets up to date on basic shots and dogs on heartworm preventative? No Yes

Who is your current vet and can we contact him/her for a reference? No Yes

Do you Rent or Own your home? rent own

If you rent, does your landlord allow pets? No Yes
If so, what weight limit?
Who is your landlord and can he/she be contacted?

How long at your current address:

How many people are in your household?

What are their ages?

Does anyone in your household have allergies? No Yes

Do all the adults know that you are planning to foster a pet? No Yes

Where will the pet be kept during the day?

How long will the pet be left alone?

Do you have a fenced yard? No Yes
If yes, what kind of fence?

Do you have a swimming pool? No Yes

Are you familiar with crate training? No Yes

Have you ever housetrained a dog/puppy before? No Yes

Can someone visit your home before you foster? No Yes

Do you have time and transport to take a pet to the vet? No Yes

Do you have time to talk with prospective adopters and do home visits? No Yes

Do you think you will be able to give up a pet to a new home after you have fostered it? No Yes

Do you realize that sometimes fostering a pet can be a long term commitment? No Yes

Please confirm your Email Address:

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