Foster Application for Dogs

You must be 18 or older to complete this application.

Full Name*

First NameLast Name

Age*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular*

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

Landlord's Name

First NameLast Name

Landlord's Phone

Area CodePhone Number

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering a Dog?*

YesNo

Do you have other pets living in the foster environment?*

YesNo

Please list all pets you have had in the past 5 years: (Please include Name, Breed, Age, Spayed/Neutered, Sex, UTD Vaccines, Heartworm, Living/Deceased)*

Are your current pets spayed/neutered?*

YesNoCurrently have no pets

Will you be integrating your current pets with your foster pet?*

YesNoCurrently have no pets

Would you be willing to have a Take Me Home Pet Rescue volunteer call your veterinarian for a reference check? (Please authorize vet to speak with us)

YesNo

Veterinarian's Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

Name of the PET this vet is treating *

Possible alternate names the account may be under (ex. maiden name) **

Name of Non-related Personal Reference 1*

First NameLast Name

Phone for Non-related Personal Reference 1*

Area CodePhone Number

Name of Non-related Personal Reference 2*

First NameLast Name

Phone for Non-related Personal Reference 2*

Area CodePhone Number

Name of Non-related Personal Reference 3*

First NameLast Name

Phone for Non-related Personal Reference 3*

Area CodePhone Number

Do you have a preference in the sex of foster?*

MaleFemaleNo Preference

Are you willing to foster a dog of any age?*

YesNo

If not, what age would you consider?

What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes*

Are you willing to take your foster dog to vet appointments at a convenient time for you?*

YesNo

If No please explain

Are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative? (Cost will be covered by the rescue)*

YesNo

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?*

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog?*

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?*

YesNo

Do you have a fenced yard?*

YesNoPartial

How many hours in a day would the foster be left alone?*

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Take Me Home Pet Rescue animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Take Me Home Pet Rescue and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release Take Me Home Pet Rescue from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have Take Me Home Pet Rescue complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Take Me Home Pet Rescue and try to give Take Me Home Pet Rescue a 2 week period to try and find another suitable foster for the dog(s).

While the animal is living with the foster family, the animal will remain the property of Take Me Home Pet Rescue, and therefore, all final decisions regarding the welfare of the animal will be the responsibility of the rescue.

Click to edit*

MonthDayYearHourMinutesAM/PM Option

Your name*

Co-Applicant name (if applicable)

Take Me Home Pet Rescue - Foster Application

Foster Enviroment

Veterinarian's Info

Personal References - CANNOT BE A RELATIVE

Preferences

Agreement