Personal Information |
|
| Name * |
|
| Address * |
|
| City, State, Zip * |
|
| Why do you want to foster? * |
|
| Email * |
|
| How long at present address? * |
|
| Day/Work Phone * |
|
| Evening/Home Phone * |
|
| Best time of day to call * |
|
| Number of adults in household? |
|
| Ages of adults * |
|
| Number of children in household? * |
|
| Ages of children * |
|
| Person responsible for foster dog’s care |
|
| Have you ever adopted an animal from a shelter * |
|
| Have you ever returned an animal to a shelter * |
|
| If yes, please give details |
|
| Do you have experience Training dogs? * |
|
| Do you have experience Crating dogs? * |
|
| Do you have experience with general care of dogs? |
|
| Do you have experience with general care of puppies? |
|
| Do you have a fenced yard? * |
|
| Do you have a room to isolate a dog? |
|
References |
|
| Reference 1 Name * |
|
| Reference 1 Phone * |
|
| Reference 1, how do you know this person? * |
|
| Reference 2 Name * |
|
| Reference 2 Phone * |
|
| Reference 2, how do you know this person? * |
|
Pet InformationPlease include all pets, including small caged pets and barnyard animals. |
|
| Pet 1, Type of animal |
|
| Pet 1, Age |
|
| Pet 1, Sex |
|
| Pet 1, how long owned? |
|
| Pet 1, spayed/neutered? |
|
| Pet 1, Rabies vaccine up to date? |
|
| Pet 1, Bortadella/Kennel Cough (if dog)? |
|
| Pet 1, DHPP (if dog)? |
|
| Pet 2, Type of animal |
|
| Pet 2, Age |
|
| Pet 2, Sex |
|
| Pet 2, how long owned? |
|
| Pet 2, spayed/neutered? |
|
| Pet 2, Rabies vaccine up to date? |
|
| Pet 2, Bortadella/Kennel Cough (if dog)? |
|
| Pet 2, DHPP (if dog)? |
|
| Pet 3, Type of animal |
|
| Pet 3, Age |
|
| Pet 3, Sex |
|
| Pet 3, how long owned? |
|
| Pet 3, spayed/neutered |
|
| Pet 3, Rabies vaccine up to date? |
|
| Pet 3, Bortadella/Kennel Cough (if dog)? |
|
| Pet 3, DHPP (if dog)? |
|
| If addition animals, please list info here |
|
Vet Information |
|
| Vet Name |
|
| Vet Phone |
|
| Vet Address |
|
Preferences |
|
| Foster preference (age, sex, size) |
|
| Would you take a dog that is not housetrained? |
|
| Would you take a dog with kennel cough? |
|
| Would you take a puppy? |
|
| Can you give medication (pills or liquid)? |
|
| Length of time foster dog would be left alone? |
|
| Where will foster dog be kept during the day? |
|
| Where will foster dog be kept at night? |
|
| Is there anything else that we should know? |
|
| How did you hear about All Dog Rescue (Petfinder, Craigslist, ADR website, friend, etc.)? |
|
| Please type the letters and numbers shown in the image. |
| | 
|
| | |