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Name of other adults in home (if applicable) *

Emergency Contact Name: *

Reference #2 *

Reference #1 *

Are your pets spayed/ neutered and up to date on vaccines? *

Yes

Address *

Please list all pets you currently have including name(s) / type(s) *

Do you or any of your household members have any allergies or medical conditions we should be aware of? If so, please specify. *

If you rent, does your lease have any restrictions, such as breed restrictions? *

Yes

N/A

You must fill in every line in order for it to submit, if the question doesn't apply put N/A

Thank you for contacting us! If needed, you will hear back within 48-72 hours.

Does everyone in the household want to foster? Are they willing to spend time with him/her? *

Yes

Children and ages (If applicable) *

First / Last Name: *

Phone *

Are you able and willing to crate train? *

Yes

We are a foster only organization and rely on our fosters to provide shelter for our dogs. If no longer able to foster we ask that you give us at least two weeks notice to find a new foster. Do you understand and agree? *

Yes

What types of dog(s) are you willing to foster? Please check all that apply.

Small dogs (under 20lbs)

Medium Dogs (20-40lbs)

Large Dogs (Over 40lbs)

Sick Dogs (kennel cough, parvo, needs to be seperated from residents pets. May require vet visits)

Puppies

Senior Dogs

Adult Dogs

Injured Dogs (May require vet visits)

Dogs with basic behavior needs (housebreaking/ leash walking)

Dogs with moderate behavior needs (jumping)

Dogs with advanced behavior needs (reactive towards other dogs, high energy)

Nursing mom with puppies

Other

Do you own or rent? *

Own

Rent

Email: *

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Is there anything else you would like us to know or consider? Do you have any questions or concerns about fostering a dog?

Dogs may be in foster care for a few weeks to a few months or more. Are you willing to make that comittment? *

Yes

Are you willing and able to work with dogs on potty training? *

Yes

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