Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Phone

(###)

###

####

Alternate Phone

(###)

###

####

Have you ever had a dog that you could not keep?

Yes

No

Do you or anyone else in your household have pet allergies?

Yes

No

Do you live in a

House

Apartment

Condo

Townhouse

Duplex

Mobile home

Do you own or rent?

Rent

Own

Do you have a yard?

Yes

No

Do you have a pool?

Yes

No

Do you have a doggy door?

Yes

No

Who will be this dog's primary caregiver?

First Name

Last Name

Where will the dog be when you’re gone? Check all that apply.

Indoors (loose)

Indoors (in one room)

Laundry room

Crated

Balcony/patio

Tied up

Yard

Dog-run

Garage

How will you train this dog? Check all that apply.

Praise

Verbal commands

Clicker training

Hit with newspaper

Spanking

Shock collar

Hire a trainer

Group classes

Under what circumstances would you consider not fostering?

Destructive chewing

Barking

Not housebroken

Biting

Too shy

Shedding

Separation anxiety

Medical problems

Not obedient enough

Grows too big

Too hyper

Pets don’t get along

Working too many hours

Moving

New baby

Divorce

Allergies

Financial problems

Personal health problems

None of the above (I would not give up this dog)

Why are you Fostering a dog? Check all that apply.

Companion for you

Companion for children

Playmate for other pets

Guard dog/protection

Therapy dog

Gift

Other (please explain)

May we conduct a home check prior to finalizing the fostering?

Yes

No

Name *

First Name

Last Name

Mobile Phone *

(###)

###

####

Work Phone

(###)

###

####

Home Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Interested in: (check all that apply)

Fostering

Marketing/Administration

Transports

Community Relations

Social Media

Adoption Liaison

Social Media

Photography

Event Leads

If you do not have a dog now, have you ever been the primary caretaker of a dog?

Yes

No