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:*
I am interested in Fostering: Check all that apply.*

MaleFemale
I am interested in Fostering: Check all that apply.*

Small [50 - 20 lbs]Medium [20 - 50 lbs]Large [50 - 150 lbs]
I would be willing to foster:*

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?
Are any children in the home?*

YesNo
What are the ages of the children?
Housing Status?

RentingOwn
Does the lease allow dogs?

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
Housing Type

Single Family HomeMulti Family HomeApartmentCondominiumMobile HomeLive with Friends/RoommatesOther
Type of yard

Unfenced YardFenced YardNo Yard
Type of fence with height included?*
Length of time at current address?
Are any members of your family allergic to animals?

YesNoUnknown
Does everyone in your household agree with fostering a dog?

YesNo
What is the activity level in your home?

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
Are there other pets in the home?

YesNo
List pet names, ages and breeds.
Are your pets up to date with vaccines?*

YesNo
Are your dogs current on heart worm preventatives?*

YesNoNo dogs in home
Are all pets current on flea/tick preventatives?*

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?
Where will you keep your new dog?*

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?
Are you willing to bring your foster to an adoption event at least once a month?*

YesNo
Describe under what circumstances might you decide not to keep your foster dog?*

New JobNew BabyChewing / ScratchingProblem with Dogs HealthProblem with Dogs BehaviorConflict With Other PetsIllness / AllergiesMovingMonetary IssuesOther
Have you ever fostered a dog before?*

YesNo
Are you willing to take the foster dog to SDS' vet for all medical needs?*

YesNo
Have you ever crate trained a dog?

YesNo
Are you aware of/willing to abide by local leash laws?

YesNo
Would you allow us to do a home visit?

YesNo
Have you ever adopted/ fostered for SDS?

YesNo
How did you hear about Senior Dog Sanctuary?
Please provide 3 non-family personal references.*
Should be Empty:

Senior Dog Sanctuary Fostering Form