Foster Home Form
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First Name
Last Name
Date of Birth (mm/dd/yy)
Gender
Spouse's Name
Spouse's DoB (mm/dd/yy)
Home Address
City
State
Zip
Home Phone
Work Phone
Cell Phone
e-mail address
Reference 1 (name, address and contact phone number)
Ref. 1 e-mail address
Reference 2 (name, address and contact phone number)
Ref. 2 e-mail address
Reference 3 (name, address and contact phone number)
Ref. 3 e-mail address
Your Vet's Name and Address
Your Vet's Phone No.
Is it okay if we call your vet? (Yes/No)
Do you have any experience working with animals? (Yes/No)
If yes, please give details
Do you have any pets? (Yes/No)
if yes, please list, name, breed, age and gender
Are all animals in the household Spay/Neutered? (Yes/No)
Are all your animals up to date on vaccinations? (Yes/No)
Number of children living at home
Time at current address (yy/mm)
Current home type (Home/Apartment/Condo)
Do you (Own/Rent)
Local environment (City/Suburb/Rural)
Yard Fenced? (Yes/No)
Type of fence
Fence Height (ft)
Gate padlock secured? (Yes/No)
Is someone home during the day? (Yes/No)
If no, where will the dog stay?
Please list the hours you are at home
I will be providing a foster home for Puppy Pals Rescue dogs and understand and agree to the following:
Fosterers shall abide by the safety rules, regulations, policies and procedures of Puppy Pals Rescue (Accept/Decline)
Fosterers shall work for Puppy Pals Rescue at their own risk (Accept/Decline)
Fosterers hereby indemnify and hold harmless Puppy Pals Rescue for any damages, injury or casualty resulting from their work on the premises of Puppy Pals Rescue or in work concerning Puppy Pals Rescue (Accept/Decline)
Puppy Pals Rescue shall not be liable in any manner or form for the negligence or unlawful acts of fosterers (Accept/Decline)