Urgent dogs application

Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number (home or cell) *

- Area Code Phone Number

E-mail

Date you are available to start

- Month - Day Year

Do you want to adopt or foster?

Is there a particular dog you are interested in?

If yes, name, breed, and color

How did you hear about this dog? (ie: petfinder, rescueme, facebook page, etc.)

Occupation of Primary Applicant

Do you Own or Rent?

Age of adults & children who live at your house

If Renting - Landlord name

Has Landlord granted permission for you to have a dog?

Landlord's PH Number

- Area Code Phone Number

Size of dog allowed

Do you currently have other animals?

Current pets names

Details about current pets (breeds, ages, sex, spayed/neutered, activity level)

Name of Veterinarian Hospital

Veterinarian's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Veterinarian's Phone Number

- Area Code Phone Number

If you do not have a current veterinarian please provide two personal references we can contact.

Are your children afraid of dogs?

Is your yard fenced?

Will you describe your fence?

Do you have a pool or body of water near your residence that is acessible?

Do all members of your family want to adopt/foster?

If no, who is not in favor and why?

Why are you interested in a dog?

Do you have any special criteria for the dog who will live at your residence?

Will the dog be allowed in the house?

How long each day will the dog be left alone?

Where will the dog stay when you are away from home?

Where will the dog stay at night?

What experience do you have with dogs?

Have you ever had a problem with dogs not getting along? If so, how did you handle it?

If your other dogs do not get along with your foster, do you have a way to separate them?

Are you willing to have a home visit?

Are you on facebook? If so, under what name?

Are you willing to take a heart worm positive dog (a non-contagious disease)?

ADOPT/FOSTER AGREEMENT

The Fosters are placed with area rescues who assume responsibility for the dog. In the agreement below, "the rescue" is used to represent whatever qualified rescue your foster is placed with.

Adopters take ownership and responsibility for the dog.

I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee that I will foster or adopt a dog. I hereby permit the rescue to contact my Veterinarian(s) and Landlord, if applicable.

I understand that there is always an adjustment period for any dog coming into my home. I am willing to work to make this fostered/adopted dog a member of my family during his/her stay.

IF FOSTERING: The average time a dog spends in a home as a foster is two (2) to six (6) months,

I agree to take my foster(s) network my foster(s) and work with the rescue to successfully find them forever homes. This includes, providing good pictures, sharing the foster's post and participating in any adoption events I can. (applies only to fosters not adopters)

I understand the rescue reserves the right to check on the welfare of this dog on my premises, and to reclaim both possession and ownership without payment of any kind. In the event that I do not comply with the foster guidelines and the rescue reclaims any foster dog from me, I waive claim to trespasser.

I also agree that if, at any time in the future, I cannot continue on in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact the rescue coordinator for arrangements to be made to move the dog(s) into other foster homes with the rescue. I also agree to give the rescue up to one week to move any dog(s) from my home.

I have read the application and program description on this form in its entirety and understand the risks involved in working with these dogs. I also agree that if the information given on this application is not accurate to the best of my knowledge, I forfeit all rights to any and all foster dogs residing in my care.

Is there anything else you would like for us to know?

Please type your full name to indicate you have read and agree to the above

Urgent Dogs Foster/Adopt Form