Subject:
(please include dog you wish to
foster!!!) *
E-mail Address: *
Name:
Birthday:
Age:
Spouse/Partner Name:
Birthday:
Age:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Day Phone:
Evening Phone:
Best time to reach you During the Day?
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Best time to reach you During the Evening?
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
1. Type of home you live in?
Apartment/Condo Town Home Single Family Home
2. Do you own your home?
Yes No
3. Do you rent?
Yes No
3a. If you rent, does your landlord permit dogs or cats?
Yes No
3b. If you rent, is there a weight or size limit on dogs allowed?
Yes No
3c. If yes, what is the limit?
4. Do you have a fenced-in yard?
Yes No
4a. If yes, briefly describe it?
4b. If no, do you agree to keep the foster dog/cat on a leash when outdoors?
Yes No
5. Do you currently have any dogs or cats of your own?
Yes No
5a. If yes, please describe each of your pets (age, breed, male/female)
5b. Are your pets spayed/neutered?
Yes No
6. If you don’t currently have pets, have you ever owned a dog/cat in the past?
Yes No
7 . Have you ever given up a pet?
Yes No
7a. If yes, please explain?
8. Why do you want to foster an animal?
9. How many Adults reside in your household?
9b. How many Children reside in your household?
10. What are the ages of everyone residing in your household?
11. Does anyone in your household have allergies?
Yes No
11b. If yes, please explain?
12. Which family member will be the animal’s primary caregiver?
13. How many hours a day will the animal be left alone?
14. Are you willing to house train an animal if necessary?
Yes No
15. Where will the animal be kept during the day?
16. Where will the animal be kept at night?
17. Have you ever crate-trained a dog before?
Yes No
17a. Do you have a crate available for your foster animal?
Yes No
18a. If yes, what is the crate size?
19. Do you have a veterinarian?
Yes No
19a. If yes, name of veterinarian?
19b. Veterinarian phone number?
20. What pet names and last name are your records under?
21. If necessary, are you willing to take your foster animal to a veterinarian approved or recommended by the Tail Waggers 911?
Yes No
21b. Are you willing to have someone from the Tail Waggers 911 visit your home prior to fostering?
Yes No
22. Are you willing to foster a special needs or senior animal?
Yes No
23. Are you willing to foster a dog recovering from surgery and/or on medication?
Yes No
24. Are you willing to foster more than one animal at a time?
Yes No
25. Will you be able to provide your foster animal with quality brand dog or cat food? (By this, we mean Fromm Premium, Kirkland or Timberland Organics.)
Yes No
26. Have you ever owned or fostered a rescue animal before?
Yes No
Signature:
Date:
Comments
* Required