EmailMe Form - Foster Application

Name *

First Last

Address *

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

Home Phone *

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Cell phone *

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Email Address *

Confirm Email Address *

Please list names and ages of ALL adults in the household. Don't forget to include yourself. *

Please list ages of all children living in your household *

Do you rent or own your home? *

If you rent, please list landlord or leasing agency *

Please list landlord's phone number *

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Have you ever fostered for a rescue before? If so, please provide the name and contact information of the rescue (email address, phone number or website) *

Please list names, types, breeds and ages of all pets inside the home *

What is the ideal dog you would like to foster (age, breed, sex, size) *

Are there any dogs you will NOT foster (age, breed, size, sex) *

Where will your foster dog be kept while in your care? Please be specific. *

Are you willing to take your foster dog to routine veterinary appointments?
(All expenses paid by rescue) *

How did you hear of Sanctuary Rescue? *

What motivated you to want to foster? Do you have any specific goals with fostering a puppy or dog through Sanctuary Rescue?
(There are no right or wrong answers, we just want to get to know you better.) *

Do you have any specific concerns when it comes to fostering a dog or puppy through Sanctuary Rescue? Is there anything that might keep you from fostering?
(There are no right or wrong answers, we just want to get to know you better.) *

What else should we know about you, your family, your home and your desire to foster a rescue dog? *

Name of personal reference # 1 *

First Last

Relationship *

Phone number of personal reference #1 *

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Email address of personal reference #1 *

Name of personal reference #2 *

First Last

Relationship *

Phone number of personal reference #2 *

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Email address of personal reference #2 *

Name of personal reference #3 *

First Last

Relationship *

Phone number of personal reference #3 *

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Email address of personal reference #3 *

Are your pets up-to-date on all of their vaccinations? *

If no, please explain

Are your current pets spayed and/or neutered? *

If no, please explain

Name of current vet *

Address of current vet *

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

Phone number of current vet *

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What name is the account under? *

Will you allow Sanctuary Rescue to contact your vet? *

Will you allow Sanctuary Rescue to do a home visit? *

Do you agree to abide by the terms of the Sanctuary Rescue Foster Agreement? *

Have you ever been charged or convicted of animal abuse or neglect? *

yes

no

If yes, please explain *