APPLICATION TO FOSTER
Your Name:
Your Email Address:
Home Phone:
Cell Phone:
Work Phone:
Your Age:
Your Address:
List names and ages of other adults in home and their relationship to you:
Names and ages of Children:
Your occupation and the name of your employer:
Number of hours per week that you work:
Your spouse’s occupation and the name of employer:
Type of Home:
Apartment
Single Family
Condo/Town home
Multi Family
In-Law Apt
Do you own or rent your home?:
Own
Rent
If rent, Landlord name and phone:
Do you have a Yard?
Yes
No
Is it Fenced?
Yes
No
Age, Type, Height of Fence:
Where will the dog stay when you are not at home?:
How many hours a day will the dog be home alone:
Where will the dog sleep at night?:
What do you do with your animals while on vacation?
List other animals currently in your home (breed, age, sex. neutered/spayed, temperament with animals and people.
Please list prior animals and what happened to them. Include breed, age, name.
How many hours a day do you have to devote to socializing/ training a dog?
Reference #1
Reference # 2
Please list 2 personal references. Include name, address, phone and their relationship to you (relative, friend, etc.)
Please list your veterinarians name, address and phone number:
May we contact your veterinarian for a reference? (Please note - a verifiable veterinary reference with a current history is required.)
Yes
No
Please describe any situations that would cause you to give up a pet:
Do you understand that you will be a foster home only for the dog, and that the ownership of the dog is held by Just A Touch Rescue?
Yes
No
Do you understand that you are required to return the dog to Just A Touch Rescue if you are no longer able to keep the dog?
Yes
No
Why do you want to foster a rescued dog?
Have you fostered before, and if so, for what organization?
Are you currently fostering an animal?
Yes
No
Do you have a preference on what types of dogs you prefer to foster? (male, female, size, breed, temperament, etc.) Please list:
Is your home environment more active or laid back?
Active
Laid Back
Do you have any special talents or experience that would help in training and socializing a dog?
Are you willing to help provide transportation to pick up your foster and/or get it to its forever home?
Yes
No
If you are willing to transport, how many miles, and are there any restrictions?
Any other things we should know to help us match a foster dog to you and your lifestyle?
Are all family members agreeable to fostering?
Yes
No
How many dogs can you comfortably foster at one time?
Are you agreeable to signing a foster contract?
Yes
No
I declare that the information I have provided in this application is complete and correct. I further declare that I am physically able to care for a rescued dog, specifically, a special needs dog. I understand the requirement and grant permission for Home Checks to be done, prior to application approval and at any further time, as deemed necessary by Just A Touch Rescue. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, Just A Touch Rescue (the rescuer), reserves the right to immediately deny the foster application or if applicable, reclaim said dog from my premises. I release Just A Touch Rescue (the rescuer), from any liabilities I may incur from the fostering process.
Signature:
Date Signed: