Dog Adoption/Foster Application

1.- Contact Information

Name

First NameLast Name

Date of Birth

Date

E-mail

Occupation:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

2.- Family and Housing

How many adults in your family?

How many children and their ages?

What type of home do you live in? Single family, townhome, condo, apartment etc.

Do you have an enclosed yard?

YesNo

Please describe your household?

ActiveNoisyQuietAverage

If you rent, please give us the rules governing pets and the landlord's name and number:

Does anyone in the family have a known allergy to dogs?

Do you have time to provide adequate love and attention to a new pet?

3.- Other Pets

What other pets do you have? (type and number)

Are these pets up to date with their vaccines?

YesNo

Are your pets spayed/neutered? If not..why?

Have you ever surrendered a pet? If so, why?

Have you ever lost a pet to an accident?

How do you discipline your pets and why?

4.- Responsabiliteis of a Foster

To provide a loving, safe home for a dog. To assist in potty training in needed and leash and crate training guided by the rescue. To report to the rescue with a progress on a regular basis and advice the rescue of any pet needs.

Initial

Foster understands the value importance of spending time and effort with the dog.

Initial

Foster understands that the rescue will provide everything that the dog needs. Food: Equipment: toys: blankets: beds: And all veterinary bills.

Initial

Foster agrees to take or allow a volunteer to pick up the dog/s for a adoption meetings.

Initial

Foster agrees to a home and yard check prior to becoming a rgistered foster.

Initial

Where will the dog spend the day? (describe)

Where will the dog spend the night? (describe)

Number of hours (average) the dog will spend alone?

Who will have primary responsibility for this dog's daily care?

Do you agree to keep the dog as an indoor pet?

YesNo

When the dog goes outside, how do you plan to supervise it? Fenced yard?

How did you hear about Muttly Crew?

Notes:

All of the information I have given is true and complete. This dog will reside temporarily in my home as a pet.

I will provide this pet with quality dog food, plenty of fresh water, indoor shelter, affection and will notify Muttly Crew of any needs that might arise during my foster period.

I understant, this dog/s is the sole property of Muttly Crew, Inc. Rescue and I will return the dog/s upon request.

Date

MonthDayYear

Signature