Out of Harm's Way -- One Dog at a Time!

Charlie's Wish Animal Rescue

Foster Application

Date: *

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Name *
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone *

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Email *
Why are you interested in fostering a dog? *
Do you have any preferences as to age, sex, etc.? Please specify. *
Have you ever owned a pet before? *
 Yes 
 No 
If yes, do you still own it?
 Yes 
 No 
If no, what happened to the animal?
What pets do you currently have in your household? List their types(cat/dog), name, spayed/neutered, kept where? Age, and the approx date of last shot series and type of shots. (Bordatella Vaccination is mandatory due to how contageous it is.) *
List pets owned in the past 5 years other than those listed above (include type, spayed/neutered, kept where, time owned? what happened to the pet)
Provide the name, address, and phone number of your veterinarian. *
Are you employed? *
 Yes, full time 
 Yes, part time  
 No 
Does anyone in your home do child care on the premises, other than your own children/friends? *
 Yes 
 No 
Would you be willing to notify the child's parents of your intent to foster to get their approval of having another animal around their child? *
 Yes 
 No 
Do you live in a : *
 House 
 Apartment 
 Townhouse 
 Other 
Do you *
 Own 
 Rent 
How much is your pet deposit?
Are you willing to provide us with the proof of payment of your pet deposit and a copy of your lease stating pets are allowed?
 Yes 
 No 
Is there a limit or the number or size of pets allowed? Please explain.
Does your lease require additional or special insurance in order to permit dogs?
 Yes 
 No 
How long have you lived at the above address? (years and months) *
If less than 5 years, how many times have you moved in that time period?
How many adults and children live in the household? *
Does all adults in the home know you are planning on fostering a pet? *
 Yes 
 No 
What are the ages of the children in the house?
Do any family members have allergies to animals or asthma? *
Who will be the primary caretaker of the dog? *
Do you feel comfortable taking the animal to vet appointments and to Adopt a Pet functions? *
 Yes 
 No 
How will you transport the animal to appointments and Adopt a Pet functions? *
Where will the dog be kept during the day and the night? *
How many hours a day will the dog be kept alone? *
 Less than 4 hours 
 Between 4 and 8 hours 
 More than 8 hours 
Do you have a doggy door? *
 Yes 
 No 
For what reason, if any, would you feel compelled to give up an animal? (Check all that apply.) *
 None 
 House training problems 
 Medical expenses (you do not pay for your foster dog vetting) 
 Not enough time for pet 
 Fence jumper/gets out of yard 
 Animal aggression 
  People aggression 
  Size (too big) 
 Children no longer living at home 
 Destructive in yard/home 
 Other 
Will you authorize a visit to your home before or after fostering a pet? *
 Yes 
 No 
Do you have a fenced yard? If yes, what kind and the height? *
If you live in an apartment or do not have a fence, are you willing to walk your dog when it is cold, dark, or raining?
 Yes 
 No 
Are you prepared to housetrain a dog? *
 Yes 
 No 
If you own a dog what is your current heartworm prevention program?
How will you ensure your dog stays on your property when you are not there? (Check all that apply) *
 In house 
 Kennel/ dog run outside 
 Fenced yard 
 On chain/ Rope 
 In garage 
 On patio 
 On leash in house 
 In a crate in house 
 Other 
Are you willing to use a crate if recommended? *
 Yes 
 No 
If not, explain.
First reference: people who don't live in the same household. Provide the name, relation, and phone number. *
Second reference: people who don't live in the same household. Provide the name, relation, and phone number. *
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