Adoption Form

Senior Dog Sanctuary Fostering Form
Applicant Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
E-mail Address*
Dog of interest:*
MaleFemale
Small [50 - 20 lbs]Medium [20 - 50 lbs]Large [50 - 150 lbs]
A dog with special needs [blind/def]A dog with a medical conditionBonded pairHospice Dog
How many hours will the dog be alone*
If you will be gone for more than 6 hours, is there a way for them to have a potty break?*
What is your occupation?
How many adults are in the home?
YesNo
What are the ages of the children?
RentingOwn
YesNo
We require a copy of your lease to verify pet restrictions. You may upload your lease now or email a copy to info@sdsanctuary.org
Upload a Copy of Lease

Browse Files

Cancelof
Landlord Name
Landlord Phone Number
Format: (000) 000-0000.
Single Family HomeMulti Family HomeApartmentCondominiumMobile HomeLive with Friends/RoommatesOther
Unfenced YardFenced YardNo Yard
Type of fence with height included?*
Length of time at current address?
YesNoUnknown
YesNo
Quiet- 2 or less adults/seniors, no children, applicant home most days.Calm- Applicants often home, 3 or less family members residing in homeModerate-Applicants work typical schedule ( 5 days per week, home weekend)Active-Frequent visits by friends and family, multiple children other pets.Other
YesNo
List pet names, ages and breeds.
YesNo
YesNoNo dogs in home
YesNo
How much time does your dog/dogs spend outdoors?
Vet Name:*

First NameLast Name
Vet phone number*

Area CodePhone Number
Why are you interested in fostering a dog at this time?*
What type of personality and activity level would you prefer the new dog to have? Please describe.*
Who will primarily be responsible for the care of this dog?
Where will the dog sleep at night?
Outside only on leashTie-out outside only when people are homeElectric Fence outside only when people are homeOutside anytime including when away from homeOther
How do you plan to exercise your dog?
What arrangements would you make to care for you dog when you go on vacation?
YesNo
New JobNew BabyChewing / ScratchingProblem with Dogs HealthProblem with Dogs BehaviorConflict With Other PetsIllness / AllergiesMovingMonetary IssuesOther
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
How did you hear about Senior Dog Sanctuary?
Please provide 3 non-family personal references.*
Should be Empty:

Senior Dog Sanctuary Fostering Form