Pom Prints Rescue

Application To Foster

Date:

Name:

Street Address:

City:

State:                             Zip Code:

County:

Home Phone Number with Area Code: 

Work Phone Number with Area Code: 

Do you presently own any pets?  

If yes what kind:

If you own dog(s) are they spayed/neutered?            If not altered, why not:

If you dog(s), cat(s) etc. what is the name and phone number of your veterinarian? 

Do you own your home:   

Do you have a fence in yard?

Do you have a crate to keep the dog in?   

Why do you want to foster a dog?

Are there children presently living in the house?              If so, what are their ages?   

Is there a limit to the length of time you can keep the dog until it gets adopted?   

If so, how long can you keep the dog?                   Why is there a limit?

How many hours will the dog be alone during the day?   

Do you mind if an interested person comes to your home to look at the dog?    

Please list the names and phone numbers of two (2) references

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