Foster Application

Foster Application
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodeCell Phone
Email
example@example.com
Type of Dwelling

Single Family HomeCondominiumApartmentTownhouse
Fenced Yard?

YesNo
Who lives in your household, including pets? How old is each of your pets? Foster family children must be 12 years or older.
Where do you plan to keep the dog when you are away during the day?
How many hours a day are you away from home?
Would you use a dog walker if you are away for more than 4-5 hours?

YesNo
Can you commit to fostering the dog for a minimum of 2-3 weeks (the minimum amount of time it takes to evaluate behavior and health issues) and up until the time of adoption?

YesNo
Can you commit to bringing the dog to its adoption in North Potomac MD?

YesNo
Would you be able to bring the dog to and from a grooming appointment in Vienna VA and afterwards for website photos in Fairfax VA?

YesNo
Would you be able to take the dog for vet appointments in Purcellville on a weekday? There are no evening or weekend appointments.

YesNo
What circumstances would make you not want to foster?

Excessive barkingSeparation anxiety"Accidents"Disciplinary problemsSocialization problemsFood aggressionResource guardingNone of These
Do you have a vacation or time away scheduled in the near future?

YesNo
When?
If you answered Yes to the above question about time away.
Foster's Signature
Please type your name
Application Date

MonthDayYear
Date
Should be Empty: