Date
Name
Dog you would like to foster
Address
City, State, and Zip Code
Home Phone Number
Mobile Phone Number
Work Phone Number
Email Address
Are you over 18 years of age	YesNo
Ages of everyone in your household
Who will be responsible for the foster dog
Is everyone in agreement on fostering a dog	YesNoNot Sure
Reasons you want to foster a dog
Where will you keep the dog
Hours a day the dog will be left alone
Where will you keep the dog while your out
Is your yard fenced, and the height
Do you Rent or Own your residence	OwnRentLease
Do you have permission to have a dog	YesNoNot Sure
Landlord's Information
Transportation Methods
Does anyone have allergies	YesNoNot Sure
Are they animal related allergies	YesNoNot Sure
Your personal view on spaying/neutering
Reasons you would return your foster dog
Have you ever re-homed a past pet	YesNo
If yes, what type of animal and why
Current animals in your home
Have you ever fostered a dog before	YesNo
If yes, from where and when
Supplies you'll need for your foster dog
Emergency Contact #1
Emergency Contact #2
Your Veterinarian
Veterinarian's Phone and Address
Comments and/or Questions
Do you understand the rescue needs 5 days to find a new foster home	YesNoNot Sure