*New Foster Application

Foster Application

Incomplete Applications will not be processed. Filling out this applicaiton does not guarentee you will be able to foster for LRR and we have the right to refuse any client for any reason at any time.

Lil' Rascals Refuge Inc.

P.O Box 234

Thorp, WI 54771

1 715 271 0699

lilrascalsrefuge@yahoo.com

wearelilrascalsrefuge.weebly.com

Animal of Interest

If you are looking at a specific breed have you researched this breed or have experience?

Have you ever fostered a pet for a shelter/rescue before?

Name of applicant

Birth Date

MonthDayYear

Occupation

Name of Spouse/Signicant Other-

Occupation

Number of Adults living in the household

Number of Children living in the household and Ages

Are all members of the family in agreement to foster?

If not, why?

Who will be the primary caregiver for this animal?

Are there any breed bans/laws in your city/town that you are aware of?

Street Address

City

State

Zip Code

Home Phone

Work Phone

Cell Phone

Email Address

Preferred Way of Contact

Do you live in a

If you rent, do you have your landlords permission to have a pet?

If you OWN please put N/A to Landlords Name/Number

Landlords Name

Landlords Number

How long have you lived at your current residents?

Any plans of moving in the near future?

How many times have you moved in the past 5 years?

How will your foster pet be taken outside to play or use the bathroom? Example: Fenced yard, dog park, tie out ect.

How much of the time will the animal be outdoors?

How much of the time will the animal be indoors?

On average how many hours a day will your foster pet be alone?

Where will the foster pet be kept when you are not home?

What area(s) of the house will your foster pet be allowed?

Where will your foster pet sleep at night?

Do you have a fenced yard?

If so, how high is the fence?

Type of fence?

Are the gates normally locked?

Do you have a pool?

If so, is it fenced seperately from the yard?

Why are you looking to foster a pet?

Name, Age, Breed/Species, Gender, Spayed/Neutered?, Up-to-date on Vaccinations?, How long have you had this pet? Where did you aquire this pet?

If you currently have more than 4 pets please list the rest

If you have a cat, does it get along with dogs?

If you have a cat, is it declawed/do you plan on declawing?

If you have a dog, does it get along with other dogs?

Are you experiencing any health/behavioral issues with your current pet? If so, please explain

Past Pet History

Have you ever given a pet away, surrendered it to a shelter/rescue group, returned it to a breeder or sold it?

If so, please explain

Have you ever given up a pet after having it a short period of time?

If so, please explain

Have you ever had a pet lost or stolen?

If so, please explain

Have you ever had an animal die from being hit by a car, poisned or another unknown cause?

If so, please explain

Have you ever had to retrieve your animal from a shelter or animal control facility?

If so, please explain

Have you had a dog/cat that has given birth while in your care?

If so, please explain

Have you ever adopted from or fostered for LRR?

Pets owned in the past 5 years that are no longer with you

Name, Breed/Species, Spayed/Neutered, How long did you have the pet for? Where did you aquire the pet? What happened to the pet that it is no longer with you?

If you have had more than 4 pets in the past 5 years that are no longer with you please explain:

Have you ever had to euthenize a pet in the past? If so, why?

Do you have a regular veterinarian?

Name of Clinic

Name of Vet

Address

Phone Number

May we use this vet as a reference?

Are you aware some pets may take time to adjust to a new home, family/enviornment and other pets?

Are you willing to allow this adjustment period?

Are you willing to bring your foster pet to veterinary appointments?

If your foster pet exhibits behavioral or adjustment issues are you willing to seek the advice from a LRR consultant or professional?

Are you willing to take your foster pet to training classes?

Preferences

I prefer a dog that is:

Energy Level Preferred:

I intend to (check all that apply)

I prefer a dog that is (check all that apply)

Are you able to commit to potty training, training or taking time and having patients to work with this animal if needed?

Will you be able to live with hair on your furniture, stains on your rug, a warm body on your bed and an animal that might be destructive at times?

Bad habits from your foster pet you would not tolerate

Under what circumstaces would you not be able to keep your foster pet?

Does anyone in your household have allergies?

If so, what kind?

Are you able/willing to drive to pick up/drop off foster pet and take them to appointments?

List 2 references. At least ONE non family.

Reference 1: Name, phone number and relationship

Reference 2: Name, phone number and relationship

Are there any special needs or circumstances we should consider?

Are you willing to allow LRR to do a home visit before you foster?

Have you read about fostering on our website?

If you have NOT read our adoption policies and procedures please read it here:

http://wearelilrascalsrefuge.weebly.com/foster

Have you ever been convicted of a crime against animals?

Signature

Date

MonthDayYearHourMinutesAM/PM Option

About your current pets:

Lil' Rascals Refuge reserves the right to refuse any client for any reason. This questionaire becomes part of our contract.