PR Animals Foster Application for Dogs

PR Animals' Foster Application

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Name *

First Name Last Name
Over 21 years old?

Yes No
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone

Area Code Phone Number
Phone Number - Cellular

Area Code Phone Number
Do you live in a: *
Do you: *

Own Rent Live with Parents
If Renting: Please indicate landlord contact information
Household Setting

Rural City
Describe the Activity Level in your Home

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests
Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *
Does Anyone in your Household have Allergies to Animals?

Yes No
Are all members of your Family agreeable to Fostering a Dog?

Yes No
Please list your pets names and their ages
Would you be willing to have a PR Animal's Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

Yes No
Veterinarian Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
Do you have a preference in the sex of foster?

Male Female No Preference
Are you willing to foster a dog of any age?

Yes No
If not, what age would you consider?
What size dog are you willing to foster? (Check all that apply) *

Small Medium Large
Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes *
Are you willing to take your foster dog to vet appointments at a convenient time for you?

Yes No
If No please explain
Are you willing and able to medicate your foster, even if it is just a monthly heartworm preventative?

Yes No
We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Yes No
Have you had any experience with with an emotionally or physically neglected or abused dog?

Yes No
If Yes please explain
Are you willing to use a crate for a dog if recommended?

Yes No
Do you have a fenced yard?

Yes No Partial
If fenced, please give details on height, material, # of gates, are gates locked or lockable?
How many hours in a day would the foster be left alone? *
What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility *
We thank you so much for your interest in our foster program. By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I certify that the above information is correct, and I understand that the information will be verified.
Electronic Signature Date

Month Day Year
at
Hour Minutes AM/PM Option Date Picker Icon
Electronic Signature (Full Name) *
Should be Empty:

PR Animals' Foster Application